Provider Demographics
NPI:1962449256
Name:MCKEEL, BRANDON C (DC)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:C
Last Name:MCKEEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 STUART RD NE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-5084
Mailing Address - Country:US
Mailing Address - Phone:423-476-4409
Mailing Address - Fax:423-476-4442
Practice Address - Street 1:106 STUART RD NE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-5084
Practice Address - Country:US
Practice Address - Phone:423-476-4409
Practice Address - Fax:423-476-4442
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC1276111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNU60559Medicare UPIN
TN3677493Medicare ID - Type Unspecified