Individual
KATHERINE KINNEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT, CES, PES
Contact information
Practice address
2425 CROMWELL CIR, APT 616, AUSTIN, TX 78741-6077
(516) 784-6535
Mailing address
2425 CROMWELL CIR, APT 616, AUSTIN, TX 78741-6077
(516) 784-6535
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
003227
NY
2255A2300X
Athletic Trainer
Primary
AT6878
TX
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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