Individual provider · Type 1 NPI

Kylie Shea Wertz

Student in an Organized Health Care Education/Training Program · Bloomington, IN

NPI number 1093552135 Active

Practice location

1241 W Church Ln Apt A
Bloomington, IN 47403-8880

Call (812) 264-2222 Map

Specialties and licenses

TaxonomyCodeLicense
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 1093552135

Kylie Shea Wertz's National Provider Identifier is 1093552135, issued on Jul 15, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bloomington, IN. The record was last updated on Dec 8, 2024.