Individual provider · Type 1 NPI

Kort Thomas Braeutigam, MHA

Student in an Organized Health Care Education/Training Program · Orange Park, FL

NPI number 1659073435 Active

Practice location

2001 Kingsley Ave
Orange Park, FL 32073-5148

Call (904) 639-2022 Map

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 1659073435

Kort Thomas Braeutigam, MHA's National Provider Identifier is 1659073435, issued on Mar 17, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orange Park, FL. The record was last updated on Mar 17, 2023.