Individual provider · Type 1 NPI
Kenneth S. Mackillop, ATS
Student in an Organized Health Care Education/Training Program · Charlotte, VT
NPI number
1063061844
Active
Practice location
3421 Lake Rd
Charlotte, VT 05445-8243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1063061844
Kenneth S. Mackillop, ATS's National Provider Identifier is 1063061844, issued on Sep 5, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlotte, VT. The record was last updated on Sep 5, 2019.