Organization
ELIZABETH KEETER D.C. LLC
Active
Other names
Keeter Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANNE KEETER D.C. (OWNER/PRESIDENT)
(907) 841-1495
Entity
Organization
Contact information
Practice address
1450 ROANOKE RD, DALEVILLE, VA 24083-2935
(907) 841-1495
Mailing address
1450 ROANOKE RD, DALEVILLE, VA 24083-2935
(907) 841-1495
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
43
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000772
—
AK
01
—
K163013
MEDICARE PTAN
—
Enumeration date
03/17/2010
Last updated
02/22/2021
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