Provider Demographics
NPI:1447467113
Name:KEESEY, JENNIFER SARAH (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:SARAH
Last Name:KEESEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 ISABEL ST W
Mailing Address - Street 2:# 2
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55107-2155
Mailing Address - Country:US
Mailing Address - Phone:612-280-6606
Mailing Address - Fax:651-330-6666
Practice Address - Street 1:1158 THOMAS AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-2165
Practice Address - Country:US
Practice Address - Phone:612-280-6606
Practice Address - Fax:651-330-6666
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor