Individual
KEISUKE KAGAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2803 CLAIRMONT RD NE, APARTMENT C, BROOKHAVEN, GA 30329-2627
(304) 685-3699
Mailing address
2803 CLAIRMONT RD NE, APARTMENT C, BROOKHAVEN, GA 30329-2627
(304) 685-3699
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002707
GA
Other
Enumeration date
09/26/2015
Last updated
09/26/2015
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