Dr. Kim Leis-Keeling, LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

4498 Issued in MN

Legal business name

DR. KIM LEIS-KEELING, LLC

Doing business as

Eagan Sports Chiropractic & Wellness Center

Practice address

2121 Cliff Dr Ste 101
Eagan, MN 55122-3407

Phone

(612) 834-2779

Fax

(654) 330-3901

NPI assigned

Sep 15, 2010

Last updated

Sep 15, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kim M. Leis-Keeling, DC

Title

Chiropractor/Owner

Phone

(612) 834-2779

Specialties & licenses 1

Addresses

Other names 1

• Eagan Sports Chiropractic & Wellness Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1881902591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 SWITCHGRASS CIR",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553798533",
            "telephone_number": "612-834-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 CLIFF DR STE 101",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223407",
            "telephone_number": "612-834-2779",
            "fax_number": "654-330-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KIM LEIS-KEELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "LEIS-KEELING",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "612-834-2779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "4498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagan Sports Chiropractic & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas M Bauer DDS,PA (oak cliff dental care)
• Katherine Downing
• Patrick Doyle, PH.D., L.P.
• Dr Brecke Counseling Group
• Dr Gerald W Rauchwarter DDS LLC
• Dr. Tim Wegscheid PA (Cedar Cliff Chiropractic & Wellness Center)
• Robyn A Drach, PHD, LP
• Dramen Eyecare, LLC
• Nicole Susan Dray, APRN
• Dsi Holding Corporation

• Sports Physician Chiropractor in Eagan, MN
• Providers in Eagan, MN by specialty
• Sports Physician Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.