Individual
DAVID JEFFREY KEAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
L.A.T., A.T.C.
Contact information
Practice address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 725-1000
Mailing address
336 ZELLER AVE, AKRON, OH 44310-3828
(330) 376-6121
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.001568
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
ATHLETIC TRAINER
OH
Enumeration date
04/03/2006
Last updated
07/08/2007
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