Individual provider · Type 1 NPI
Kayla Stephenson
Student in an Organized Health Care Education/Training Program · Hermantown, MN
NPI number
1649657479
Active
Practice location
5024 Morris Thomas Road
Hermantown, MN 55811
Mailing address
5024 Morris Thomas Rd
Hermantown, MN 55811-3747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
Other student in an organized health care education/training program providers in Hermantown
About NPI 1649657479
Kayla Stephenson's National Provider Identifier is 1649657479, issued on Apr 30, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hermantown, MN. The record was last updated on Apr 30, 2015.