Individual
SHANNON KANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
651 TAYLOR DR, XENIA, OH 45385-7246
(937) 352-1216
Mailing address
312 W CHURCH ST APT 6, XENIA, OH 45385-2925
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 001621
OH
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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