Individual
KEITH ANTHONY VANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, ATC, LAT
Contact information
Practice address
5992 KESSLERSVILLE ROAD, NAZARETH, PA 18064
(484) 357-3396
(570) 422-3616
Mailing address
5992 KESSLERSVILLE RD, NAZARETH, PA 18064-9374
(484) 357-3396
(570) 422-3616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001357A
PA
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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