Provider Demographics
NPI:1518187020
Name:KEETON, VERONICA M (DC)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:M
Last Name:KEETON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:RONI
Other - Middle Name:M
Other - Last Name:KEETON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:10255 E VIA LINDA UNIT 2073
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5324
Mailing Address - Country:US
Mailing Address - Phone:480-818-0278
Mailing Address - Fax:480-209-1976
Practice Address - Street 1:10255 E VIA LINDA
Practice Address - Street 2:UNIT 2073
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5324
Practice Address - Country:US
Practice Address - Phone:480-818-0278
Practice Address - Fax:480-209-1976
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7383111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor