Individual provider · Type 1 NPI

Kyle Jorel Cusack

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

NPI number 1457018392 Active

Practice location

7752 Roan Rd
San Diego, CA 92129-4509

Call (858) 776-3871 Map

Mailing address

158 Harmon Dr
Northfield, VT 05663-1000

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 1457018392

Kyle Jorel Cusack's National Provider Identifier is 1457018392, issued on Nov 28, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Nov 28, 2021.