Individual
KEITH SHIREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/LAT
Contact information
Practice address
1024 PIONEER RD, SEARCY, AR 72143-7209
(501) 626-0926
Mailing address
1024 PIONEER RD, SEARCY, AR 72143-7209
(501) 626-0926
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 187
AR
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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