Individual provider · Type 1 NPI

McKenna Kieley Burcham

Student in an Organized Health Care Education/Training Program · Moscow, ID

NPI number 1487494787 Active

Practice location

875 Perimeter Dr
Moscow, ID 83844-9803

Call (208) 885-6111 Map

Mailing address

2027 4th Ave N
Lewiston, ID 83501-1631

Specialties and licenses

TaxonomyCodeLicense
Speech/Language/Hearing Specialist/Technologist 235500000XNone listed
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 1487494787

McKenna Kieley Burcham's National Provider Identifier is 1487494787, issued on May 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moscow, ID. The record was last updated on Aug 16, 2024.