Individual provider · Type 1 NPI

Keilani Leslie Moeaki

Student in an Organized Health Care Education/Training Program · Provo, UT

NPI number 1417290735 Active

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677

Call (801) 373-4760 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XM20051288859 (IL)

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 1417290735

Keilani Leslie Moeaki's National Provider Identifier is 1417290735, issued on Apr 4, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Provo, UT. The record was last updated on Apr 4, 2013.