Individual provider · Type 1 NPI
Kaeley Rae Blaney
Student in an Organized Health Care Education/Training Program · Green Bay, WI
NPI number
1164940375
Active
Practice location
2088 Memorial Drive #208
Green Bay, WI 54303
Mailing address
2088 Memorial Dr Apt 208
Green Bay, WI 54303-5304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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 1164940375
Kaeley Rae Blaney's National Provider Identifier is 1164940375, issued on Sep 7, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Green Bay, WI. The record was last updated on Jul 21, 2022.