Individual provider · Type 1 NPI
Cassidy Jo Koons
Student in an Organized Health Care Education/Training Program · Kendallville, IN
NPI number
1063207751
Active
Practice location
415 Drake Rd
Kendallville, IN 46755-2007
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.
Other student in an organized health care education/training program providers in Kendallville
About NPI 1063207751
Cassidy Jo Koons's National Provider Identifier is 1063207751, issued on Apr 12, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kendallville, IN. The record was last updated on Apr 12, 2025.