Individual provider · Type 1 NPI

Mary Kennedy McCarthy

Student in an Organized Health Care Education/Training Program · Kenosha, WI

NPI number 1033775861 Active

Practice location

2001 Alford Park Dr
Kenosha, WI 53140-1927

Call (630) 624-6431 Map

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide 376K00000XNone 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 1033775861

Mary Kennedy McCarthy's National Provider Identifier is 1033775861, issued on May 16, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kenosha, WI. The record was last updated on May 16, 2019.