Individual
DIANA LYNN KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. A.T.,C.
Contact information
Practice address
EMPIRE MEDICAL BUILDING 200 HOSPITAL DRIVE, CHESAPEAKE ORTHOPEADICS & SPORTS MEDICINE, GLEN BURNIE, MD 21061
(410) 768-5555
Mailing address
8131 CHESTNUT AVE, BOWIE, MD 20715-4521
(410) 774-5694
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
089302478
—
Other
Enumeration date
08/31/2005
Last updated
06/17/2008
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