Provider Demographics
NPI:1346562089
Name:KEYES, TERRI JEAN (DC)
Entity type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:JEAN
Last Name:KEYES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:TERRY
Other - Middle Name:
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:220C KROGER CTR
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD
Mailing Address - State:KY
Mailing Address - Zip Code:40351-8894
Mailing Address - Country:US
Mailing Address - Phone:859-495-2900
Mailing Address - Fax:606-462-2024
Practice Address - Street 1:16 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-1422
Practice Address - Country:US
Practice Address - Phone:859-520-3033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-22
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV906111N00000X
KY251700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty