Kalissa Bannister
Kalissa Bannister is an Athletic Trainer in Charleston, West Virginia. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
408 Jerick CirCharleston, WV 25302-4470
Phone: (304) 881-1186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1740744994 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 22, 2019 |
| Last updated in NPPES | January 22, 2019 |
| Mailing address | 408 Jerick Cir, Charleston, WV 25302-4470 |
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