National Provider Identifier

Kathryn Marie Keller, ATC

Kathryn Marie Keller, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Tonawanda, NY and a listed phone number of (716) 879-8246.

NPI 1033423066Tonawanda, NYAthletic Trainer

Profile Overview

NPI
1033423066
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
August 02, 2010
Last Updated
November 14, 2016

Practice Location

  • 10 Sheridan Dr
  • Tonawanda, NY 14150-7752

Phone: (716) 879-8246

Mailing Address

  • 3936 Yale Ave
  • Hamburg, NY 14075-2811

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1033423066
Entity Type
Individual
Last Name
Keller
First Name
Kathryn
Middle Name
Marie
Credential
ATC
Mailing Street Address
3936 Yale Ave
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-2811
Mailing Country
US
Practice Street Address
10 Sheridan Dr
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-7752
Practice Country
US
Practice Phone
(716) 879-8246
Enumeration Date
August 02, 2010
Last Updated
November 14, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)