Individual provider · Type 1 NPI

Kiely Blaise Combs

Student in an Organized Health Care Education/Training Program · San Jose, CA

NPI number 1619708088 Active

Practice location

1340 Tully Rd
San Jose, CA 95122-3055

Call (408) 271-3900 Map

Mailing address

1340 Tully Rd Ste 301
San Jose, CA 95122-3055

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 1619708088

Kiely Blaise Combs's National Provider Identifier is 1619708088, issued on Aug 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Jose, CA. The record was last updated on Aug 14, 2026.