Individual provider · Type 1 NPI

Kentston Bauman, PA-C

Student in an Organized Health Care Education/Training Program · South Hadley, MA

NPI number 1659006450 Active

Practice location

103 Woodbridge St
South Hadley, MA 01075-1128

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 1659006450

Kentston Bauman, PA-C's National Provider Identifier is 1659006450, issued on Jul 18, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Hadley, MA. The record was last updated on Jul 18, 2022.