Hanrahan-Havern, Kimberly Ann

Hanrahan-Havern, Kimberly Ann is an individual health care provider with primary practice located at 300 W Hospital Rd , Fort Gordon GA 30905-5741. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Hanrahan-Havern, Kimberly Ann can be contacted via phone (706) 787-2056.

Contact Information

Primary practice address
300 W Hospital Rd Fort Gordon GA 30905-5741
Phone: (706) 787-2056
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1104254614
LBN Legal business name Hanrahan-Havern, Kimberly Ann
Credentials M.A., ATR-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2013
Last updated Jun 23rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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