Individual provider · Type 1 NPI
Logan Shohei Kittaka
Student in an Organized Health Care Education/Training Program · Piketon, OH
NPI number
1184104747
Active
Practice location
295 Center View Dr
Piketon, OH 45661-9099
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 1184104747
Logan Shohei Kittaka's National Provider Identifier is 1184104747, issued on Aug 14, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Piketon, OH. The record was last updated on Aug 14, 2018.