Individual provider · Type 1 NPI

Kevin Van

Student in an Organized Health Care Education/Training Program · Simi Valley, CA

NPI number 1275929515 Active

Practice location

5729 Nutwood Cir
Simi Valley, CA 93063-3566

Call (805) 587-3719 Map

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 1275929515

Kevin Van's National Provider Identifier is 1275929515, issued on Apr 14, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Simi Valley, CA. The record was last updated on Apr 14, 2015.