Individual provider · Type 1 NPI
Owen Payne Kusick
Student in an Organized Health Care Education/Training Program · Plymouth, MN
NPI number
1073064804
Active
Practice location
16717 49th Pl N
Plymouth, MN 55446
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.
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About NPI 1073064804
Owen Payne Kusick's National Provider Identifier is 1073064804, issued on Oct 17, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Plymouth, MN. The record was last updated on Oct 17, 2016.