Individual
KRISTINE KAORU WHITTINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, SCAT
Contact information
Practice address
716 ZIMALCREST DR APT 214, COLUMBIA, SC 29210-6565
(478) 230-0454
Mailing address
716 ZIMALCREST DR APT 214, COLUMBIA, SC 29210-6565
(478) 230-0454
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1636
SC
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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