Individual
MR. KEENAN JOHN PERRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S., ATC, LAT
Contact information
Practice address
940 2ND ST, PORTSMOUTH, OH 45662-4303
(740) 351-3170
Mailing address
4247 OAK ST, NEW BOSTON, OH 45662-5158
(740) 456-3124
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 002239
OH
Other
Enumeration date
02/14/2006
Last updated
07/08/2007
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