Individual provider · Type 1 NPI
Keera Ann Cummings
Student in an Organized Health Care Education/Training Program · East Islip, NY
NPI number
1114507191
Active
Practice location
78 Fawn Dr
East Islip, NY 11730-3710
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.
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About NPI 1114507191
Keera Ann Cummings's National Provider Identifier is 1114507191, issued on Apr 13, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in East Islip, NY. The record was last updated on Apr 13, 2021.