Individual
KIANNA N ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
26 PENRY ST, LEXINGTON, NC 27292-2638
(336) 970-0915
Mailing address
501 BROAD ST, KANNAPOLIS, NC 28081-4754
(336) 552-8896
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3186
NC
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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