Provider Demographics
NPI:1679597124
Name:PATEL, KEYUR KRISHNA (DC)
Entity Type:Individual
Prefix:DR
First Name:KEYUR
Middle Name:KRISHNA
Last Name:PATEL
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 1:15016 US HIGHWAY 441
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726-6589
Mailing Address - Country:US
Mailing Address - Phone:352-742-9577
Mailing Address - Fax:352-742-3584
Practice Address - Street 1:15016 US HIGHWAY 441
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-6589
Practice Address - Country:US
Practice Address - Phone:352-742-9577
Practice Address - Fax:352-742-3584
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7897111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor