Individual provider · Type 1 NPI

Martin Luther King Akutek, MBCHB

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1619645470 Active

Practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

20 York St
New Haven, CT 06510-3220

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XMT232721 (PA)

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 1619645470

Martin Luther King Akutek, MBCHB's National Provider Identifier is 1619645470, issued on Sep 5, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 25, 2026.