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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KALISSA BANNISTER

Active

KALISSA BANNISTER is a Athletic Trainer healthcare provider located in CHARLESTON, West Virginia. NPI 1740744994 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · CHARLESTON, WV

Registration Details

NPI Number
1740744994
Provider Type
Individual
Gender
Female
NPI Issued
Jan 22, 2019 (7.5449502566406 yrs)
Last Updated
Jan 22, 2019

Practice Information

Address
408 JERICK CIR
CHARLESTON, WV, 253024470
Browse WV providers · Browse ZIP 25302
Phone
3048811186
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in CHARLESTON, WV

Name Credential NPI
MR. BOBBY RICHARD HELMICK II ATC 1942273321
MR. MATTHEW BRADLEY ATC 1801822481
NOEL ARTHUR LILLY M.S. A.T.,C. 1619011558
BRANDI RAE SPENCER A.T.C. 1851435796
MR. KEVIN JOSEPH WILLIAMS MS, ATC, CSCS 1467596809
DANIELLE NICOLE SALMONS ATC 1518092451
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.