Individual provider · Type 1 NPI

Kennedy Anice Wilson

Student in an Organized Health Care Education/Training Program · Fremont, CA

NPI number 1437888294 Active

Practice location

3300 Capitol Ave
Fremont, CA 94538-1514

Mailing address

7811 Pineville Cir
Castro Valley, CA 94552-5353

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Counselor 101Y00000XNone 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 1437888294

Kennedy Anice Wilson's National Provider Identifier is 1437888294, issued on Jun 7, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fremont, CA. The record was last updated on Apr 17, 2024.