Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Keith Vincent Johnson, ATC, NRAEMT

Individual provider Athletic Trainer · NPI 1700929031

Mr. Keith Vincent Johnson, ATC, NRAEMT is an Athletic Trainer in Malvern, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

13 Fahnestock Rd
Malvern, PA 19355-2104
Phone: (610) 633-1478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence RT001618A (PA)

Record details

NPI number1700929031
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , NRAEMT
Sole proprietorYes
NPI enumeratedFebruary 15, 2007
Last updated in NPPESDecember 16, 2015

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