Individual
CHAD MARVIN KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Contact information
Practice address
915 MICHIGAN ST, SIDNEY, OH 45365-2401
(937) 498-5503
Mailing address
13140 SR 47 W, QUINCY, OH 43343
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
2000019730
OH
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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