Individual
KEEGAN FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
169 LAKE ST, HAMBURG, NY 14075-4823
(716) 912-4257
Mailing address
169 LAKE ST, HAMBURG, NY 14075-4823
(716) 912-4257
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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