Individual
JENNIFER A KEOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
TEAGLE HALL, CAMPUS RD, CORNELL UNIVERSITY, ITHACA, NY 14853
(607) 255-4237
Mailing address
121 ELLERY RD, ROCHESTER, NY 14612-2978
(585) 227-2231
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001958
NY
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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