Individual
KASSANDRA KAY MEMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
807 LONGFORD DR, BOWLING GREEN, OH 43402-1563
(419) 460-0244
Mailing address
807 LONGFORD DR, BOWLING GREEN, OH 43402-1563
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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