Individual provider · Type 1 NPI
Ellie King
Student in an Organized Health Care Education/Training Program · Montgomery, IL
NPI number
1295438257
Active
Practice location
1932 Lakeside Dr
Montgomery, IL 60538-3041
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.
About NPI 1295438257
Ellie King's National Provider Identifier is 1295438257, issued on Mar 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Montgomery, IL. The record was last updated on Mar 27, 2023.