Individual provider · Type 1 NPI

Kaelyn Grace Edwards

Student in an Organized Health Care Education/Training Program · San Antonio, TX

NPI number 1609700095 Active

Practice location

12777 W Ih 10
San Antonio, TX 78230-1014

Call (210) 558-3027 Map

Mailing address

12034 Vista Nogal St
San Antonio, TX 78213-1240

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X45339 (TX)

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 1609700095

Kaelyn Grace Edwards's National Provider Identifier is 1609700095, issued on Jun 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Antonio, TX. The record was last updated on Jun 10, 2026.