STACY KANNENBERG

Student in an Organized Health Care Education/Training Program

NPI: 1790649986Individual

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training ProgramPrimary

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Athletic Trainer

Specialist/Technologist — Athletic Trainer

Code: 2255A2300X

Contact & Hours

Address: 1516 E KELLY AVE
PEORIA HEIGHTS, IL 61616
Phone: (309) 657-8779

Quick Facts

NPI: 1790649986
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 1

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