Individual provider · Type 1 NPI

Kevin Mangat

Student in an Organized Health Care Education/Training Program · Grandview, WA

NPI number 1407607385 Active

Practice location

1000 Wallace Way
Grandview, WA 98930-8805

Call (509) 788-1702 Map

Fax (509) 786-1022

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 1407607385

Kevin Mangat's National Provider Identifier is 1407607385, issued on Mar 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grandview, WA. The record was last updated on Apr 4, 2024.