Individual
KEVIN KEYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC. LAT, PES
Contact information
Practice address
106 TOMAHAWK DR, LAFAYETTE, LA 70503-6606
(239) 938-4334
Mailing address
106 TOMAHAWK DR, LAFAYETTE, LA 70503-6606
(239) 938-4334
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000028022
BOARD OF CERTIFICATION
—
Enumeration date
09/23/2020
Last updated
09/23/2020
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