Individual
MRS. KIMBERLY BYRNE HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
932 JONATHAN ST, AMHERST, OH 44001-3131
(440) 988-2055
Mailing address
932 JONATHAN ST, AMHERST, OH 44001-3131
(440) 988-2055
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
254
OH
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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