Individual
KEITH MORGAN BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., ATC, LAT, CES
Contact information
Practice address
MTSU SPORTS MEDICINE, 1500 GREENLAND DRIVE, MURFREESBORO, TN 37132-0001
(615) 904-8302
(615) 904-8301
Mailing address
MTSU SPORTS MEDICINE, 1500 GREENLAND DRIVE, MURFREESBORO, TN 37132-0001
(615) 904-8302
(615) 904-8301
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0000001883
TN
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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