Individual provider · Type 1 NPI

Kimberly Ann Hanrahan-Havern, M.A., ATR-BC

Student in an Organized Health Care Education/Training Program · Fort Gordon, GA

NPI number 1104254614 Active

Practice location

300 W Hospital Rd
Fort Gordon, GA 30905-5741

Call (706) 787-2056 Map

Mailing address

300 E. Hospital Road
Augusta, GA 30805

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104254614

Kimberly Ann Hanrahan-Havern, M.A., ATR-BC's National Provider Identifier is 1104254614, issued on Oct 18, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Gordon, GA. The record was last updated on Jun 23, 2014.