Individual provider · Type 1 NPI
Hailey Elaine Kimball
Student in an Organized Health Care Education/Training Program · Broken Arrow, OH
NPI number
1083102099
Active
Practice location
7251 South 301st East Avenue
Broken Arrow, OH 74014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| 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 1083102099
Hailey Elaine Kimball's National Provider Identifier is 1083102099, issued on Apr 25, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Broken Arrow, OH. The record was last updated on Apr 25, 2018.