Individual
MR. KENNETH S. KEISTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC,
Contact information
Practice address
2500 W TAFT VINELAND RD, ORLANDO, FL 32837-7818
(407) 816-5600
Mailing address
1451 SOUTHWIND DR, CASSELBERRY, FL 32707-5154
(407) 256-8485
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2255A2300X
FL
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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