| NPI | 1780086181 |
|---|---|
| Doing Business As | KEYSTONE HEALTH & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | SHAWN JOHONNESSON President 303-709-4805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2019-07-19 |