Individual provider · Type 1 NPI
Kaya Iman Matthews
Student in an Organized Health Care Education/Training Program · Soperton, GA
NPI number
1215500897
Active
Practice location
274 Boomerang Ln
Soperton, GA 30457-3204
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.
About NPI 1215500897
Kaya Iman Matthews's National Provider Identifier is 1215500897, issued on Jul 21, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Soperton, GA. The record was last updated on Jul 21, 2021.