| Jeffrey J Keon & Dina J Keon, A Chiropractic Corporation | |
|
2025 Hurley Way Ste 110 Sacramento CA 95825-3225 | |
| (916) 487-3008 | |
| (916) 487-1197 |
| Full Name | Jeffrey J Keon & Dina J Keon, A Chiropractic Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 2025 Hurley Way Ste 110, Sacramento, California |
| Authorized Official Name and Position | Jeffrey Keon (PRESIDENT) |
| Authorized Official Contact | 9164873008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey J Keon & Dina J Keon, A Chiropractic Corporation 1260 Fulton Ave Ste A Sacramento CA 95825-7396 Ph: (916) 487-3008 | Jeffrey J Keon & Dina J Keon, A Chiropractic Corporation 2025 Hurley Way Ste 110 Sacramento CA 95825-3225 Ph: (916) 487-3008 |
| NPI Number | 1902199177 |
|---|---|
| Provider Enumeration Date | 05/20/2011 |
| Last Update Date | 11/22/2019 |
| Medicare PECOS PAC ID | 7719151323 |
|---|---|
| Medicare Enrollment ID | O20111116000894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902199177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DC25579 (California) | Primary |
| Provider Name | Jeffrey J Keon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336223213 PECOS PAC ID: 6709050313 Enrollment ID: I20111128000075 |
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