Individual provider · Type 1 NPI

Manasaa Vijay Kannan

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

NPI number 1477296572 Active

Practice location

500 S Preston St
Louisville, KY 40202-1702

Call (502) 852-5193 Map

Mailing address

5216 Wolfpen Woods Dr
Prospect, KY 40059-9198

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 1477296572

Manasaa Vijay Kannan's National Provider Identifier is 1477296572, issued on Apr 16, 2022. 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 Apr 18, 2022.