Individual provider · Type 1 NPI

Tyler Kennedy

Student in an Organized Health Care Education/Training Program · Alliance, OH

NPI number 1730586983 Active

Practice location

1972 Clark Ave
Alliance, OH 44601-3929

Call (180) 099-2668 Map

Mailing address

25253 Hartley Rd
Beloit, OH 44609-9456

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 1730586983

Tyler Kennedy's National Provider Identifier is 1730586983, issued on Dec 2, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Alliance, OH. The record was last updated on Dec 2, 2014.