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NPI Code Detail

MEDICARE: BRITTANY KIRK LAT, ATC

MEDICARE: BRITTANY KIRK LAT, ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerRT007635PA
22255A2300XAthletic Trainer25MT00290600NJ
32255A2300XAthletic Trainer

General Provider Information

NPI Number : 1497259485
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY KIRK LAT, ATC
Provider Business Mailing Address
First Line : 671 S 82ND ST APT 35
Second Line :
City : HARRISBURG
State : PA
Zip : 17111-5539
Country : US
Telephone Number : 609-313-0220
Fax Number :
Provider Business Practice Location Address
First Line : 101 N COLLEGE AVE
Second Line :
City : ANNVILLE
State : PA
Zip : 17003-1400
Country : US
Telephone Number : 717-867-6888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2018
Last Update Date : 11/03/2021

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Directions to “ BRITTANY KIRK LAT, ATC” Practice Location

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