Provider Demographics
NPI:1780060301
Name:KEES CHIROPRACTIC LLC
Entity type:Organization
Organization Name:KEES CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:KEYS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:920-563-2281
Mailing Address - Street 1:113 SHERMAN AVE W
Mailing Address - Street 2:
Mailing Address - City:FORT ATKINSON
Mailing Address - State:WI
Mailing Address - Zip Code:53538-1732
Mailing Address - Country:US
Mailing Address - Phone:920-563-2281
Mailing Address - Fax:920-563-2378
Practice Address - Street 1:113 SHERMAN AVE W
Practice Address - Street 2:
Practice Address - City:FORT ATKINSON
Practice Address - State:WI
Practice Address - Zip Code:53538-1732
Practice Address - Country:US
Practice Address - Phone:920-563-2281
Practice Address - Fax:920-563-2378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty