Provider Demographics
NPI:1013728088
Name:KEESEY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:KEESEY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DOMINIQUE
Authorized Official - Middle Name:JUSTINE
Authorized Official - Last Name:KEESEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-827-0420
Mailing Address - Street 1:70859 CHERMONT RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43912-9796
Mailing Address - Country:US
Mailing Address - Phone:740-827-0420
Mailing Address - Fax:
Practice Address - Street 1:700 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CADIZ
Practice Address - State:OH
Practice Address - Zip Code:43907-9498
Practice Address - Country:US
Practice Address - Phone:740-320-4022
Practice Address - Fax:740-320-4023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty