Provider Demographics
NPI:1093723280
Name:KEENEY CHIROPRACTIC
Entity Type:Organization
Organization Name:KEENEY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:KEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-494-2698
Mailing Address - Street 1:4711 E 51ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-3703
Mailing Address - Country:US
Mailing Address - Phone:918-494-2698
Mailing Address - Fax:918-494-7983
Practice Address - Street 1:4711 E 51ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-3703
Practice Address - Country:US
Practice Address - Phone:918-494-2698
Practice Address - Fax:918-494-7983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3474111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty