Individual provider · Type 1 NPI
Zachary Jon Kirkwood
Student in an Organized Health Care Education/Training Program · St. Leonard, MD
NPI number
1477051969
Active
Practice location
1750 Leos Way
St. Leonard, MD 20685-2925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1477051969
Zachary Jon Kirkwood's National Provider Identifier is 1477051969, issued on Jan 30, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Leonard, MD. The record was last updated on Jan 30, 2018.