Individual
ALEXA KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195 POWELL DR, ROSWELL, GA 30076-1204
(770) 688-6110
Mailing address
195 POWELL DR, ROSWELL, GA 30076-1204
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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