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

Dr. Kelly Patrick Keough, DC

Individual provider Chiropractor · NPI 1407886153

Dr. Kelly Patrick Keough, DC is a Chiropractor in Grand Terrace, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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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 · Licence 13815 (CA)

Record details

NPI number1407886153
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedJuly 5, 2006
Last updated in NPPESNovember 4, 2008

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