Individual
KAITLIN KEYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2060 OAKVIEW DR, CANTON, MI 48187-3193
(734) 660-6657
Mailing address
2060 OAKVIEW DR, CANTON, MI 48187-3193
(734) 660-6657
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
K200461258557
MI
Other
Enumeration date
07/25/2015
Last updated
07/25/2015
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