Individual
KEITH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
11114 WILD BRANCH CT, OWINGS MILLS, MD 21117-1778
(419) 305-1913
Mailing address
11114 WILD BRANCH CT, OWINGS MILLS, MD 21117-1778
(410) 356-7392
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A000100
MD
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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