Provider Demographics
NPI:1003456690
Name:KEYS CHIROPRACTIC CORP
Entity Type:Organization
Organization Name:KEYS CHIROPRACTIC CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:KEYS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:715-495-0032
Mailing Address - Street 1:8786 W INDORE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-4242
Mailing Address - Country:US
Mailing Address - Phone:715-495-0032
Mailing Address - Fax:
Practice Address - Street 1:3915 E EXPOSITION AVE STE 100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-5052
Practice Address - Country:US
Practice Address - Phone:303-955-4609
Practice Address - Fax:720-484-6377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty