Individual
KELI NICOLE KEENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, ATC, LAT
Contact information
Practice address
4600 MEMORIAL DR, BELLEVILLE, IL 62226-5368
(618) 257-5250
Mailing address
4063 FRANK SCOTT PKWY W, BELLEVILLE, IL 62223-6802
(618) 222-7635
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002057
IL
Other
Enumeration date
07/11/2018
Last updated
03/01/2019
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