Individual
MRS. KELLY CHRISTINA HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1229 E SEMINOLE ST, SPRINGFIELD, MO 65804-2227
(417) 820-5610
(417) 820-5569
Mailing address
1229 E SEMINOLE ST, SPRINGFIELD, MO 65804-2227
(417) 820-5610
(417) 820-5569
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2009020684
MO
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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