Individual provider · Type 1 NPI

Jeremy Kirksey

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

NPI number 1316528565 Active

Practice location

13555 Columbus Ct
Fontana, CA 92336-3427

Call (909) 646-0916 Map

Mailing address

1731 E 120th St
Los Angeles, CA 90059-3051

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 1316528565

Jeremy Kirksey's National Provider Identifier is 1316528565, issued on Apr 19, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fontana, CA. The record was last updated on Apr 19, 2021.