Individual
MR. KENNETH JOSEPH ALBERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
51 W COLLEGE ST, WAYNESBURG, PA 15370-1258
(724) 852-3295
Mailing address
51 W COLLEGE ST, WAYNESBURG, PA 15370-1258
(724) 852-3295
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT000063A
PA
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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