Individual provider · Type 1 NPI

Kelley Haertilng

Student in an Organized Health Care Education/Training Program · Perryville, MO

NPI number 1235697525 Active

Practice location

1141 Pcr 917
Perryville, MO 63775-8347

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.

About NPI 1235697525

Kelley Haertilng's National Provider Identifier is 1235697525, issued on Mar 6, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Perryville, MO. The record was last updated on Mar 6, 2019.