Individual provider · Type 1 NPI

Kevin Etter

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1033575741 Active

Practice location

5323 Harry Hines Blvd.
Dallas, TX 75390-9006

Call (214) 648-3111 Map

Mailing address

5323 Harry Hines Blvd
Dallas, TX 75390-9006

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
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 1033575741

Kevin Etter's National Provider Identifier is 1033575741, issued on Jan 11, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Jul 3, 2022.