Individual provider · Type 1 NPI

Kenrick Edwin Wysong

Student in an Organized Health Care Education/Training Program · Burlington, VT

NPI number 1558064758 Active

Practice location

111 Colchester Ave
Burlington, VT 05401-1473

Call (802) 847-2345 Map

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 1558064758

Kenrick Edwin Wysong's National Provider Identifier is 1558064758, issued on Mar 24, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Burlington, VT. The record was last updated on Mar 27, 2023.