Provider Demographics
NPI:1053519413
Name:DR. RICHARD KEENEY
Entity type:Organization
Organization Name:DR. RICHARD KEENEY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:MARLYN
Authorized Official - Last Name:KEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-637-1253
Mailing Address - Street 1:112 BALTIMORE ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-3110
Mailing Address - Country:US
Mailing Address - Phone:717-637-1253
Mailing Address - Fax:717-637-7928
Practice Address - Street 1:112 BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-3110
Practice Address - Country:US
Practice Address - Phone:717-637-1253
Practice Address - Fax:717-637-7928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty