Individual
MS. KRISTI DAWN HANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
759 TWP RD 1600, ASHLAND, OH 44805
(419) 651-3179
Mailing address
759 TOWNSHIP ROAD. 1600, ASHLAND, OH 44805
(419) 651-3179
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2170065
OH
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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