Individual provider · Type 1 NPI

Taylor Gwyneth Keiran

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

NPI number 1053223693 Active

Practice location

500 Lincoln Dr
Madison, WI 53706-1314

Mailing address

17361 70th Ave
Tinley Park, IL 60477-3465

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone 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 1053223693

Taylor Gwyneth Keiran's National Provider Identifier is 1053223693, issued on Sep 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Madison, WI. The record was last updated on Sep 18, 2026.