Individual
MS. KIMBERLY ANN HANRAHAN-HAVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., ATR-BC
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-2056
Mailing address
300 E. HOSPITAL ROAD, AUGUSTA, GA 30805
(706) 787-2056
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/18/2013
Last updated
06/23/2014
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