Individual provider · Type 1 NPI
Kyle Prohovich, DR.
Student in an Organized Health Care Education/Training Program · Windham, NH
NPI number
1174015887
Active
Practice location
9 Faith Rd
Windham, NH 03087-1554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DN1857947 (MA) |
| 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.
Other student in an organized health care education/training program providers in Windham
About NPI 1174015887
Kyle Prohovich, DR.'s National Provider Identifier is 1174015887, issued on May 30, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Windham, NH. The record was last updated on Oct 30, 2018.