National Provider Identifier

Patrick Owen McKeon, PHD, ATC, CSCS

Patrick Owen McKeon, PHD, ATC, CSCS is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (607) 274-1455.

NPI 1306491063Ithaca, NYAthletic Trainer

Profile Overview

NPI
1306491063
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
August 08, 2019
Last Updated
August 08, 2019

Practice Location

  • Hill Center G66
  • 953 South Danby RD.
  • Ithaca, NY 14850

Phone: (607) 274-1455

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1306491063
Entity Type
Individual
Last Name
McKeon
First Name
Patrick
Middle Name
Owen
Name Prefix
Dr.
Credential
PHD, ATC, CSCS
Mailing Street Address
Hill Center G66
Mailing Address Line 2
953 South Danby RD.
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850
Mailing Country
US
Mailing Phone
(607) 274-1455
Practice Street Address
Hill Center G66
Practice Address Line 2
953 South Danby RD.
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850
Practice Country
US
Practice Phone
(607) 274-1455
Enumeration Date
August 08, 2019
Last Updated
August 08, 2019
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)