Individual provider · Type 1 NPI

Kenneth Xavier Roman Hernandez, MD

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1366298721 Active

Practice location

3990 John R St
Detroit, MI 48201-2018

Call (313) 745-7233 Map

Mailing address

Urb Regional B9 Calle 1
Arecibo, PR 00612-3429

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 1366298721

Kenneth Xavier Roman Hernandez, MD's National Provider Identifier is 1366298721, issued on Apr 26, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Apr 26, 2024.