Provider Demographics
NPI:1144497249
Name:KEEN CHOICE IN HEALTH
Entity type:Organization
Organization Name:KEEN CHOICE IN HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:KEENE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-707-9356
Mailing Address - Street 1:23 W MCKINLEY WAY
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-1953
Mailing Address - Country:US
Mailing Address - Phone:330-707-9355
Mailing Address - Fax:330-707-9356
Practice Address - Street 1:23 W MCKINLEY WAY
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-1953
Practice Address - Country:US
Practice Address - Phone:330-707-9355
Practice Address - Fax:330-707-9356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3867111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty