Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC0117560 | CA |
NPI | 1003098864 |
---|---|
Provider Name | Ms. Christine Keefe |
First Address | Redding, CA 96002-0218 |
Second Address | Redding, CA 96002-0218 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2007 |
Last Update Date | 24/03/2008 |