Individual
DAVID KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT,ATC
Contact information
Practice address
7871 BALLENTRAE PL, STANLEY, NC 28164-7824
(704) 661-3718
Mailing address
7871 BALLENTRAE PL, STANLEY, NC 28164-7824
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2945
NC
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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