Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keough Chiropractic, Inc

Organization Chiropractor · NPI 1104026913

Keough Chiropractic, Inc is a Chiropractor in Grand Terrace, California. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12139 Mount Vernon Ave Ste 100
Grand Terrace, CA 92313-5519
Phone: (909) 783-4950
Fax: (909) 783-1008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1104026913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Keough — President · (909) 783-4950
NPI enumeratedJuly 19, 2007
Last updated in NPPESOctober 31, 2008
Mailing address12139 Mount Vernon Ave Ste 100, Grand Terrace, CA 92313-5519

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