Individual
JENNIFER CELESTE KEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC.LAT,CSCS
Contact information
Practice address
2119 POST ROAD, FAIRFIELD, CT 06824
(203) 259-7177
(203) 256-9217
Mailing address
163 GROVE STREET, SHELTON, CT 06484
(203) 924-5776
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000216
CT
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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