Provider Demographics
NPI:1669683231
Name:YU, KEITH (DC)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:
Last Name:YU
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 MOON DANCER COURT
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410
Mailing Address - Country:US
Mailing Address - Phone:561-779-8412
Mailing Address - Fax:
Practice Address - Street 1:2326 SOUTH CONGRESS AVE
Practice Address - Street 2:SUITE 2C
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33406
Practice Address - Country:US
Practice Address - Phone:561-642-9901
Practice Address - Fax:561-880-6972
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0284111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor