Individual
CAROLINE JEAN KANDRAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1970 S RIDGE RD, GREEN BAY, WI 54304-4125
(920) 430-4888
(920) 430-4889
Mailing address
1570 QUARRY PARK DR APT 10, DE PERE, WI 54115-7526
(920) 471-7299
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
331239
WI
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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