Individual
MISS KAITLYN HARDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATS
Contact information
Practice address
1105 STERLING DR, PAPILLION, NE 68046-6123
(228) 424-6913
Mailing address
1105 STERLING DR, PAPILLION, NE 68046-6123
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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