Individual provider · Type 1 NPI

Tatum Kelly

Student in an Organized Health Care Education/Training Program · Oneida, NY

NPI number 1215713698 Active

Practice location

201 Cedar St
Oneida, NY 13421-2111

Mailing address

165 Main St Ste A
Cortland, NY 13045-3191

Specialties and licenses

TaxonomyCodeLicense
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 1215713698

Tatum Kelly's National Provider Identifier is 1215713698, issued on Sep 1, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oneida, NY. The record was last updated on Sep 1, 2023.