Individual provider · Type 1 NPI
Kelly Marie Frasier, DO STUDENT
Student in an Organized Health Care Education/Training Program · New York, NY
NPI number
1245977131
Active
Practice location
21 West St Apt 15H
New York, NY 10006-2927
Mailing address
5850 E Still Cir
Mesa, AZ 85206-3618
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.
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About NPI 1245977131
Kelly Marie Frasier, DO STUDENT's National Provider Identifier is 1245977131, issued on May 12, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on May 12, 2022.