Kyrstyn Sara Keating, ATC
Individual provider Active NPI Athletic Trainer · Orono, ME
NPI 1639633951 · NPPES record last updated Jan 31, 2019
Key facts
- NPI
- 1639633951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT706 (ME)
- Practice address
- 5747 Memorial Gym
Orono, ME 04469-5747 - Phone
- (207) 581-1088
- NPI assigned
- Jan 31, 2019
- 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 |
|---|---|---|---|
| AT706 | ME | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT706 | ME | Yes |
Addresses
Primary practice location
5747 Memorial Gym
Orono, ME 04469-5747
Mailing address
5747 Memorial Gym
Orono, ME 04469-5747
Phone (207) 581-1088
Other providers in Orono, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2019. 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.