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NPI Code Detail

MEDICARE: MS. BARBARA ANN KENNARD MS, ATC

MEDICARE: MS. BARBARA ANN KENNARD MS, 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 TrainerRT-001217-APA

General Provider Information

NPI Number : 1578780938
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BARBARA ANN KENNARD MS, ATC
Provider Business Mailing Address
First Line : 3 W LAUREL AVE
Second Line :
City : NEW CASTLE
State : PA
Zip : 16101-2187
Country : US
Telephone Number : 724-730-7572
Fax Number : 724-658-2808
Provider Business Practice Location Address
First Line : 3410 WILMINGTON RD
Second Line :
City : NEW CASTLE
State : PA
Zip : 16105-3210
Country : US
Telephone Number : 724-658-2801
Fax Number : 724-658-2808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 07/08/2007

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