Individual
MR. KEITH WILLIAM SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
256 COUNTY ROAD 513, GLEN GARDNER, NJ 08826-6430
(908) 638-2199
Mailing address
1475 STOKE PARK RD, BETHLEHEM, PA 18017-2232
(610) 882-2730
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00077600
NJ
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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