Individual provider · Type 1 NPI

Kerry Marie Dailey, TEACHER CERTIFICATIO

Student in an Organized Health Care Education/Training Program · Brockton, MA

NPI number 1396802039 Active

Practice location

1115 West Chestnut St
Brockton, MA 02301

Fax (508) 427-5361

Mailing address

65 Harriet Ave
Whitman, MA 02382

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 1396802039

Kerry Marie Dailey, TEACHER CERTIFICATIO's National Provider Identifier is 1396802039, issued on Jan 2, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brockton, MA. The record was last updated on Jul 8, 2007.