Individual
MR. KEITH ALLEN CLEMENTS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1701 MEADOW CHASE LN, KNOXVILLE, TN 37931-4759
(865) 776-0071
(866) 460-2894
Mailing address
1701 MEADOW CHASE LN, KNOXVILLE, TN 37931-4759
(865) 776-0071
(866) 460-2894
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000000375
TN
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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