Provider Demographics
NPI:1518656859
Name:TERRI KEYES KENTUCKEYES CHIRO
Entity Type:Organization
Organization Name:TERRI KEYES KENTUCKEYES CHIRO
Other - Org Name:KENTUCKEYES CHIRO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:KEYES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-520-3033
Mailing Address - Street 1:16 S QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-1422
Mailing Address - Country:US
Mailing Address - Phone:859-520-3033
Mailing Address - Fax:
Practice Address - Street 1:16 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-1422
Practice Address - Country:US
Practice Address - Phone:859-520-3033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty