Provider Demographics
NPI:1336575141
Name:KEEFE, PATRICK THOMAS JR (DC)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:THOMAS
Last Name:KEEFE
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5850 HIGHWAY 53
Mailing Address - Street 2:SUITE N
Mailing Address - City:HARVEST
Mailing Address - State:AL
Mailing Address - Zip Code:35749-4301
Mailing Address - Country:US
Mailing Address - Phone:256-852-2000
Mailing Address - Fax:256-852-2232
Practice Address - Street 1:5850 HIGHWAY 53
Practice Address - Street 2:SUITE N
Practice Address - City:HARVEST
Practice Address - State:AL
Practice Address - Zip Code:35749-4301
Practice Address - Country:US
Practice Address - Phone:256-852-2000
Practice Address - Fax:256-852-2232
Is Sole Proprietor?:No
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1185111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor