Individual provider · Type 1 NPI
Brook Kmiecik
Student in an Organized Health Care Education/Training Program · Woodruff, WI
NPI number
1730796079
Active
Practice location
9198A Thrall Rd
Woodruff, WI 54568-9329
Mailing address
3857 Little Trout Rd
Lac Du Flambeau, WI 54538-9313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
4 other providers at this address
- Nicole Marie McGeshickProfessional Counselor Woodruff, WI NPI 1164212080
- Shirlee Ann KnoxAddiction (Substance Use Disorder) Counselor Woodruff, WI NPI 1619737277
- Whitney Lynn GrahamProfessional Counselor Woodruff, WI NPI 1497688733
- William Albert ShopeAddiction (Substance Use Disorder) Counselor Woodruff, WI NPI 1508675968
Other student in an organized health care education/training program providers in Woodruff
About NPI 1730796079
Brook Kmiecik's National Provider Identifier is 1730796079, issued on Sep 30, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Woodruff, WI. The record was last updated on Sep 30, 2020.