Individual provider · Type 1 NPI
Brandon Klug
Student in an Organized Health Care Education/Training Program · Fort Wayne, IN
NPI number
1255293122
Active
Practice location
5417 Stonecreek Trl
Fort Wayne, IN 46825-5964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| 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 1255293122
Brandon Klug's National Provider Identifier is 1255293122, issued on Dec 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 1, 2025.