NPI 1659723989

Justin D Keller, DC

Practitioner Chiropractor Lewiston, ID

Practice location

Address: 3510 12th St 200, Lewiston, ID 83501-5575
Phone: (208) 799-3333
Fax: (208) 799-3375
Mailing address: 18919 Double T Ln, Lenore, ID 83541-6088

Registered specialties (2)

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CHIA-1739 (ID)

Other Chiropractor providers in Idaho →

Sports Physician Chiropractor

Chiropractic Providers Taxonomy 111NS0005X Licence CHIN-1718 (ID)

Registry record

NPI: 1659723989
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2016
Record last updated: 28 Sep 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.