Provider Demographics
NPI:1295824225
Name:SNEAD, KEITH L SR (DC)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:L
Last Name:SNEAD
Suffix:SR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:107 BRAXTON LN W
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-1210
Mailing Address - Country:US
Mailing Address - Phone:615-868-8791
Mailing Address - Fax:615-868-4744
Practice Address - Street 1:3638 DICKERSON PIKE STE 201
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-1787
Practice Address - Country:US
Practice Address - Phone:615-868-8791
Practice Address - Fax:615-868-4744
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC 1483111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4076197OtherBCBS NUMBER
TN4637044OtherCIGNA NUMBER
TN4076197OtherBCBS NUMBER
TNU 74211Medicare UPIN