Individual provider · Type 1 NPI

Tyronne Kahlil Plunkett

Student in an Organized Health Care Education/Training Program · South Pasadena, CA

NPI number 1013484468 Active

Practice location

205 Pasadena Ave
South Pasadena, CA 91030-2919

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Case Manager/Care Coordinator 171M00000XNone 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 1013484468

Tyronne Kahlil Plunkett's National Provider Identifier is 1013484468, issued on Oct 24, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Pasadena, CA. The record was last updated on Jan 13, 2026.