Individual
MR. KEVIN ALAN KEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
855 SOUTH NEW STREET, WEST CHESTER, PA 19382
(215) 264-8952
Mailing address
751 PADDOCK PL, NORTH WALES, PA 19454-2706
(215) 264-8952
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005406
PA
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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