Keith Vincent Johnson in Malvern - Athletic Trainer
Keith Vincent Johnson - NPI 1700929031
Keith Vincent Johnson is a Athletic Trainer in Malvern, Pennsylvania. Keith Vincent Johnson practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Keith Vincent Johnson is 1700929031. The last update date is 2015-12-16.
Keith Vincent Johnson's current location address is 13 Fahnestock Rd, Malvern, Pennsylvania. You can contact this provider via phone number 6106331478. The mailing address for Keith Vincent Johnson is 13 Fahnestock Rd, Malvern, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Vincent Johnson |
|---|---|
| Address | 13 Fahnestock Rd, Malvern, Pennsylvania |
| Phone Number | 6106331478 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ATC, NRAEM |
NPI Number Detail
| NPI Number | 1700929031 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2015-12-16 |
Provider Mailing Address Detail
| Address | 13 Fahnestock Rd |
|---|---|
| City | Malvern |
| State | Pennsylvania (PA) |
| Post Code | 193552104 |
| Phone Number | 6106331478 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | RT001618A |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique 10-digit identifier code issued to Keith Vincent Johnson by the Centers for Medicare & Medicaid Services?
The Keith Vincent Johnson has been assigned the NPI (National Provider Identifier) 1700929031 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Keith Vincent Johnson?
The Keith Vincent Johnson is situated at 13 Fahnestock Rd, in the city of Malvern, state of PA, with the zip code 193552104.
What is Keith Vincent Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Keith Vincent Johnson is Athletic Trainer, and the taxonomy code that categorizes this field of expertise is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700929031 to Keith Vincent Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1700929031 to Keith Vincent Johnson on 2007-02-15.
When was the Keith Vincent Johnson's information last updated?
The Keith Vincent Johnson's information was last updated on 2015-12-16.
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