Individual provider · Type 1 NPI

Kaylin Back, DO

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

NPI number 1225868615 Active

Practice location

707 E Main St
Middletown, NY 10940-2650

Mailing address

5501 Old York Rd
Philadelphia, PA 19141-3018

Other practice locations

  • 5501 Old York Rd # Phi, Philadelphia, PA 19141-3018 · (215) 456-7890

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 1225868615

Kaylin Back, DO's National Provider Identifier is 1225868615, issued on Aug 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Middletown, NY. The record was last updated on May 27, 2026.