Provider Demographics
NPI:1518737568
Name:KEOGH, STEVEN CHARLES (DR OF CHIROPRACTIC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CHARLES
Last Name:KEOGH
Suffix:
Gender:M
Credentials:DR OF CHIROPRACTIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:1140 VANROOY DR
Mailing Address - Street 2:
Mailing Address - City:THIEF RIVER FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56701-3944
Mailing Address - Country:US
Mailing Address - Phone:218-681-2225
Mailing Address - Fax:218-681-4655
Practice Address - Street 1:1140 VANROOY DR
Practice Address - Street 2:
Practice Address - City:THIEF RIVER FALLS
Practice Address - State:MN
Practice Address - Zip Code:56701-3944
Practice Address - Country:US
Practice Address - Phone:218-681-2225
Practice Address - Fax:218-681-4655
Is Sole Proprietor?:No
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN7166111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor