NPI 1255497046

McKeon Chiropractic Clinic PA

Organisation Chiropractor Lake Wales, FL

Practice location

Address: 2433 Stateroad 60 East, Lake Wales, FL 33898-5122
Phone: (863) 676-2717
Fax: (863) 676-3390

Authorised official

Name: Thomas Daniel McKeon
Title: President
Phone: (863) 676-2717

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CH9107 (FL)

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Registry record

NPI: 1255497046
Entity type: Organization
NPI issued: 28 Dec 2006
Record last updated: 24 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.