Individual provider · Type 1 NPI
Kaitlin Jenna Burke
Student in an Organized Health Care Education/Training Program · New York, NY
NPI number
1366108409
Active
Practice location
170 William St
New York, NY 10038-2612
Mailing address
3704 W Broadway Apt 3305
Columbia, MO 65203-0241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 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.
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About NPI 1366108409
Kaitlin Jenna Burke's National Provider Identifier is 1366108409, issued on Nov 12, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Nov 12, 2021.