Individual
RICHARD KNEEBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 CENTENNIAL LN, ELLICOTT CITY, MD 21042-6214
(410) 300-4636
Mailing address
2604 MYRTLE AVE APT SUITE, HALETHORPE, MD 21227-2922
(410) 300-4636
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000936
MD
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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