Individual
MS. STEPHANIE MICHELLE KEININGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
701 N VISTA RIDGE BLVD, #19101, CEDAR PARK, TX 78613-7844
(512) 573-9005
Mailing address
701 N VISTA RIDGE BLVD, #19101, CEDAR PARK, TX 78613-7844
(512) 573-9005
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1422
TX
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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