Individual provider · Type 1 NPI

Kimberly Rae Wynn

Student in an Organized Health Care Education/Training Program · Chattanooga, TN

NPI number 1265002745 Active

Practice location

621 Memorial Dr Apt 1404
Chattanooga, TN 37415-5523

Call (760) 889-9800 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1265002745

Kimberly Rae Wynn's National Provider Identifier is 1265002745, issued on Jun 28, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chattanooga, TN. The record was last updated on Jun 28, 2021.