Individual provider · Type 1 NPI
Katelyn Banner
Student in an Organized Health Care Education/Training Program · Boyne City, MI
NPI number
1174064257
Active
Practice location
507 Spring St
Boyne City, MI 49712-1295
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.
About NPI 1174064257
Katelyn Banner's National Provider Identifier is 1174064257, issued on Mar 9, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boyne City, MI. The record was last updated on Mar 9, 2017.