Individual provider · Type 1 NPI

Kaitlin Nicole Boothe

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

NPI number 1629687967 Active

Practice location

10027 Estes Hill Ln
Conroe, TX 77302-4145

Call (307) 871-5550 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 1629687967

Kaitlin Nicole Boothe's National Provider Identifier is 1629687967, issued on Jul 22, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Conroe, TX. The record was last updated on Jul 22, 2020.