Individual
CRAIG KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
177 GRANNY RD, FARMINGVILLE, NY 11738-2143
(631) 716-8200
Mailing address
849 SAYVILLE AVE, BOHEMIA, NY 11716-4314
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/10/2009
Last updated
01/26/2012
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