Individual provider · Type 1 NPI
Kevin D. Fettel
Student in an Organized Health Care Education/Training Program · Boston, MA
NPI number
1558210229
Active
Practice location
25 Shattuck St Apt 515
Boston, MA 02115-6092
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.
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About NPI 1558210229
Kevin D. Fettel's National Provider Identifier is 1558210229, issued on Jan 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Jan 26, 2026.