Kelly Keough, D.C

NPI 1407886153 · on the registry since 2006 · sole proprietor

Practice

Address: 12139 Mount Vernon Ave Ste 100
Grand Terrace, CA 92313
Phone: (909) 783-4950
Fax: (909) 783-1008
Organisation at this address: Broadscope Llc
Health Redesigned
Terra Vista Counseling
Debonaire Hospice, Inc.
Keough Chiropractic, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: Chiropractor
111N00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-11-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California