Individual provider · Type 1 NPI

Kenneth Randell Kersey

Student in an Organized Health Care Education/Training Program · Charlottesville, VA

NPI number 1336088699 Active

Practice location

1215 Lee St, Mailbox 801016
Charlottesville, VA 22908-0816

Call (434) 924-2663 Map

Fax (434) 244-4454

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 1336088699

Kenneth Randell Kersey's National Provider Identifier is 1336088699, issued on Mar 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlottesville, VA. The record was last updated on Mar 25, 2026.