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KEOUGH CHIROPRACTIC, INC
NPI 1104026913
Chiropractor in Grand Terrace, CA

Active since July 19, 2007
12139 MOUNT VERNON AVE STE 100, GRAND TERRACE, CA 92313(909) 783-4950(909) 783-1008 Get Directions Write a Review

NPPES record last updated: October 31, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keough Chiropractic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEOUGH CHIROPRACTIC, INC (NPI 1104026913) is a healthcare organization registered as a chiropractor in Grand Terrace, California and active in the NPI registry since July 2007. The organization lists Kelly Patrick Keough, President, as its authorized official.

NPPES Registry Identity

NPI1104026913
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKEOUGH CHIROPRACTIC, INC
Location Address12139 MOUNT VERNON AVE STE 100Grand Terrace, CA 92313-5519
Mailing Address12139 Mount Vernon Ave Ste 100Grand Terrace, CA 92313-5519 · (909) 783-4950 · Fax (909) 783-1008
Phone(909) 783-4950
Fax(909) 783-1008
Organization SubpartNo
Authorized OfficialKelly Patrick KeoughPresident · (909) 783-4950
Enumeration DateJuly 19, 2007
Last NPPES UpdateOctober 31, 2008
✔ NPI 1104026913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
12139 MOUNT VERNON AVE STE 100, Grand Terrace, CA 92313
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Other Identifiers 1

Medicare PINZZZ30315ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BISSANI CHIROPRACTIC AND INTEGRATED HEALTH PC
Clinic/Center
12139 MOUNT VERNON AVE STE 100
GRAND TERRACE, CA 92313
San Bernardino County (909) 783-4950
DR. KELLY PATRICK KEOUGH D.C.
Chiropractor
12139 MOUNT VERNON AVE STE 100
GRAND TERRACE, CA 92313
San Bernardino County (909) 783-4950
DR. RICHARD TRUJILLO DC
Chiropractor
12139 MOUNT VERNON AVE STE 100
GRAND TERRACE, CA 92313
San Bernardino County (909) 783-4950
DR. ZAKARI LARBI BISSANI DC
Chiropractor
12139 MOUNT VERNON AVE STE 100
GRAND TERRACE, CA 92313
San Bernardino County (720) 989-0890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keough Chiropractic, Inc's NPI number?

The NPI number for Keough Chiropractic, Inc is 1104026913. It was assigned to this organization in the NPPES registry on July 19, 2007.

Where is Keough Chiropractic, Inc located?

Keough Chiropractic, Inc is located at 12139 Mount Vernon Ave Ste 100, Grand Terrace, CA 92313. The listed phone number is (909) 783-4950.

What is Keough Chiropractic, Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Keough Chiropractic, Inc was last updated on October 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.