Individual
KEVIN ALLEN HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CCC-A
Contact information
Practice address
1061 HARMON AVE, BLDG 308, RM 122, FORT STEWART, GA 31314-5641
(912) 435-6916
Mailing address
1061 HARMON AVE, BLDG 308, RM 122, FORT STEWART, GA 31314-5641
(912) 435-6916
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-0040
WV
Other
Enumeration date
09/20/2006
Last updated
01/12/2009
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