Individual provider · Type 1 NPI
Mikalah Ann Brock, STUDENT
Student in an Organized Health Care Education/Training Program · Weatherby, MO
NPI number
1497591226
Active
Practice location
6731 NE State Rte E
Weatherby, MO 64497-5500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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 1497591226
Mikalah Ann Brock, STUDENT's National Provider Identifier is 1497591226, issued on Jul 2, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Weatherby, MO. The record was last updated on Jul 2, 2024.