person
Kelly Hannon, OTR
Specialist in Newburgh, New York
NPI 1447313242

Kelly Hannon is a Specialist based in Newburgh, NY. Kelly Hannon practices in Newburgh, NY and has the professional credentials of OTR. The NPI Number for Kelly Hannon is 1447313242 and holds a License No. 009353-1 (New York).

The current practice location address for Kelly Hannon is 1607 Route 300, Newburgh, NY and can be reached out via phone at 845-564-9853 and via fax at 845-564-6974.

Location: 1607 Route 300, Newburgh, NY, 12550-1738
person
Provider Profile Details
NPI Number
1447313242
Provider Name
Kelly Hannon
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
1607 Route 300, Newburgh, NY, 12550-1738
Phone Number
845-564-9853
Fax Number
845-564-6974
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009353-1 01 NY OT LICENSE
institution
Provider Business Practice Location Address Details
Address
1607 Route 300
City
State
Zip
12550-1738
Phone Number
845-564-9853
Fax Number
845-564-6974
person
Provider Business Mailing Address Details
Address
1607 Route 300
City
State
Zip
12550-1738
Phone Number
845-564-9853
Fax Number
845-564-6974
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
009353-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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