Individual provider · Type 1 NPI
McKenna Baylee Goodman
Student in an Organized Health Care Education/Training Program · Huntington, WV
Practice location
1 John Marshall Dr Huntington Wv 25755 KH145
Huntington, WV 25755-0001
Mailing address
67 Mayfair Way
Huntington, WV 25705-3836
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | IN0010522 (WV) |
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 1144053034
McKenna Baylee Goodman's National Provider Identifier is 1144053034, issued on Aug 26, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Huntington, WV. The record was last updated on Aug 26, 2024.