Individual provider · Type 1 NPI

Kylie Boldt

Student in an Organized Health Care Education/Training Program · Manhattan, KS

NPI number 1174235154 Active

Practice location

1105 Sunset Ave
Manhattan, KS 66502-3739

Call (402) 212-5006 Map

Mailing address

2401 W Broadway Apt 605
Columbia, MO 65203-7616

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1174235154

Kylie Boldt's National Provider Identifier is 1174235154, issued on Dec 21, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Manhattan, KS. The record was last updated on Dec 21, 2022.