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VICTORIA KEEN
Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1124497227
Individual Registrant: VICTORIA KEEN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
STATION #14 UNIVERSITY OF WEST ALABAMA LIVINGSTON, AL 35470 US
Tel: 205-652-3451 Fax: --
Tel: 205-652-3451 Fax: --
Contact information for business:
205 MOORE RD AIKEN, SC 29805-8583 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1124497227
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Athletic Trainer |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
