Individual
MISS KRISTIN KERRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
147 HAVEN LN, LEVITTOWN, NY 11756-3520
(516) 710-1110
Mailing address
147 HAVEN LN, LEVITTOWN, NY 11756-3520
(516) 710-1110
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002746-1
NY
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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