Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Calvin Woodrow Keller, LAT-ATC

Individual provider Athletic Trainer · NPI 1912529934

Mr. Calvin Woodrow Keller, LAT-ATC is an Athletic Trainer in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.

Licensed in
NC
In the registry since
2020

Practice location Address checks out

3507 Midway School Rd
Winston Salem, NC 27107-8741
Phone: (336) 474-8280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence LAT-0810 (NC)

Record details

NPI number1912529934
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT-ATC
Sole proprietorNo
NPI enumeratedMay 13, 2020
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020

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