Individual provider · Type 1 NPI

Mason Scott Miranda I

Student in an Organized Health Care Education/Training Program · Wichita, KS

NPI number 1295699593 Active

Practice location

1010 N Kansas St
Wichita, KS 67214-3124

Call (316) 293-2635 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X3-116928 (KS)

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 1295699593

Mason Scott Miranda I's National Provider Identifier is 1295699593, issued on Dec 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wichita, KS. The record was last updated on Dec 11, 2025.