Individual
MATTHEW SCOTT KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C
Contact information
Practice address
415 HARRISBURG AVE, LANCASTER, PA 17603-2827
(717) 291-4111
Mailing address
415 HARRISBURG AVE, LANCASTER, PA 17603-2827
(717) 291-4111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003124
PA
Other
Enumeration date
03/07/2007
Last updated
12/08/2011
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