Individual
MS. KALLIE NOEL HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
145 MAIN ST, DURHAM, NH 03824-3572
(774) 271-0982
Mailing address
5 MAPLE LN, BREWSTER, MA 02631-2115
(774) 271-0982
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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