Individual provider · Type 1 NPI

Brian Kennedy

Student in an Organized Health Care Education/Training Program · Eagan, MN

NPI number 1588025134 Active

Practice location

576 Hawthorne Woods Dr
Eagan, MN 55123-3059

Call (651) 270-4218 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone 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 1588025134

Brian Kennedy's National Provider Identifier is 1588025134, issued on Mar 10, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Eagan, MN. The record was last updated on Mar 10, 2016.