Individual provider · Type 1 NPI

Kathleen Helen Haley

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

NPI number 1023390218 Active

Practice location

2712 Telegraph Ave
Berkeley, CA 94705-1117

Mailing address

6064 Mcbryde Ave
Richmond, CA 94805-1221

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1023390218

Kathleen Helen Haley's National Provider Identifier is 1023390218, issued on Sep 13, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Berkeley, CA. The record was last updated on Sep 13, 2011.