Individual
KELLIE HANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1904 19TH WAY, WEST PALM BEACH, FL 33407-6626
(239) 313-0453
Mailing address
1904 19TH WAY, WEST PALM BEACH, FL 33407-6626
(239) 313-0453
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3907
FL
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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