Individual provider · Type 1 NPI

Kaylin Rucker

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1417412933 Active

Practice location

2514 Tarkington Way
Louisville, KY 40258-3358

Call (502) 432-9684 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X390200000X

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 1417412933

Kaylin Rucker's National Provider Identifier is 1417412933, issued on Feb 8, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Feb 8, 2019.