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DR. KELLY PATRICK KEOUGH D.C.
NPI 1407886153
Chiropractor in Grand Terrace, CA

Active since July 05, 2006
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: November 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly Patrick Keough D.c. NPPES

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

DR. KELLY PATRICK KEOUGH D.C. (NPI 1407886153) is an individual chiropractor in Grand Terrace, California, licensed in California (13815) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1407886153
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KELLY PATRICK KEOUGHCredential: D.C.
Location Address12139 MOUNT VERNON AVE STE 100Grand Terrace, CA 92313-5519
Mailing Address1944 Country Club DrRedlands, CA 92373-7306 · (909) 793-5700
Phone(909) 783-4950
Fax(909) 783-1008
Sole ProprietorYes
Enumeration DateJuly 5, 2006
Last NPPES UpdateNovember 4, 2008
✔ NPI 1407886153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 13815
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 PINDC0138151CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

KEOUGH CHIROPRACTIC, INC
Chiropractor
12139 MOUNT VERNON AVE STE 100
GRAND TERRACE, CA 92313
San Bernardino County (909) 783-4950
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. 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 Kelly Keough's NPI number?

The NPI number for Kelly Keough is 1407886153. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Kelly Keough located?

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

What is Kelly Keough's specialty?

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

What insurance does Kelly Keough accept?

Health plans from Providence Health Plan list Kelly Keough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Keough was last updated on November 4, 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.