Kimberly Jean Keeley, ATC
Individual provider Active NPI Athletic Trainer · Slippery Rock, PA
NPI 1306980669 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1306980669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT004077 (PA)
- Practice address
- 1 Morrow Way
011 Morrow Field House, Slippery Rock University
Slippery Rock, PA 16057-1313 - Phone
- (724) 738-2621
- Fax
- (724) 738-4871
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT004077 | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT004077 | PA | Yes |
Addresses
Primary practice location
1 Morrow Way
011 Morrow Field House, Slippery Rock University
Slippery Rock, PA 16057-1313
Mailing address
109 W Water St
Slippery Rock, PA 16057-1022
Phone (724) 991-0693
Other providers in Slippery Rock, PA
- Japan Maple Health
- Amber Jones
- Samantha Leigh Jones
- Joshua W Click Dba Click Chiropractic
- Vanessa Paula Kachulis
- Keystone Rehabilitation Systems Inc
- Gregory C Kingston
- Laura Catherine Kleemook
- Elizabeth McGee Klixbull
- Katie Kniess
All providers in Slippery Rock, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.