Individual provider · Type 1 NPI

Kyra Koontz

Student in an Organized Health Care Education/Training Program · Wilmington, NC

NPI number 1659199149 Active

Practice location

601 S College Rd
Wilmington, NC 28403-3201

Mailing address

4807 Atlantis Ct Apt 11
Wilmington, NC 28403-6408

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 1659199149

Kyra Koontz's National Provider Identifier is 1659199149, issued on Oct 2, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wilmington, NC. The record was last updated on Oct 2, 2024.