Individual
ALICIA KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 E 16TH ST, INDIANAPOLIS, IN 46229-2008
(815) 993-7374
Mailing address
4605 MIMI DR APT D, INDIANAPOLIS, IN 46237-1765
(815) 993-7374
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/31/2018
Last updated
06/30/2023
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