Individual provider · Type 1 NPI

Kelly Desir

Student in an Organized Health Care Education/Training Program · Oakland Park, FL

NPI number 1104413905 Active

Practice location

4501 NW 31st Ave
Oakland Park, FL 33309-3403

Mailing address

10234 Isle Wynd Ct
Boynton Beach, FL 33437-5501

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPSI38194 (FL)

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 1104413905

Kelly Desir's National Provider Identifier is 1104413905, issued on Dec 28, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oakland Park, FL. The record was last updated on Dec 28, 2020.