Individual provider · Type 1 NPI

Kacey Idouchi

Student in an Organized Health Care Education/Training Program · Columbia, SC

NPI number 1750141248 Active

Practice location

58 Upper Pond Rd
Columbia, SC 29223-3054

Call (917) 660-1241 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 1750141248

Kacey Idouchi's National Provider Identifier is 1750141248, issued on Mar 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbia, SC. The record was last updated on Mar 20, 2024.