National Provider Identifier
Jennifer A Keough, ATC
Jennifer A Keough, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (607) 255-4237.
Profile Overview
- NPI
- 1174828339
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- January 20, 2011
- Last Updated
- January 20, 2011
Practice Location
- Teagle Hall, Campus RD
- Cornell University
- Ithaca, NY 14853
Phone: (607) 255-4237
Mailing Address
- 121 Ellery RD
- Rochester, NY 14612-2978
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1174828339
- Entity Type
- Individual
- Last Name
- Keough
- First Name
- Jennifer
- Middle Name
- A
- Credential
- ATC
- Mailing Street Address
- 121 Ellery RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-2978
- Mailing Country
- US
- Mailing Phone
- (585) 227-2231
- Practice Street Address
- Teagle Hall, Campus RD
- Practice Address Line 2
- Cornell University
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14853
- Practice Country
- US
- Practice Phone
- (607) 255-4237
- Enumeration Date
- January 20, 2011
- Last Updated
- January 20, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)