Individual provider · Type 1 NPI
Kendell Scott Wilson
Student in an Organized Health Care Education/Training Program · Griffin, GA
NPI number
1760167928
Active
Practice location
226 Buck Creek Cir
Griffin, GA 30224-7775
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist | 222Q00000X | None listed |
| Rehabilitation Practitioner | 225400000X | None listed |
| Athletic Trainer | 2255A2300X | None listed |
| Registered Respiratory Therapist | 227900000X | None listed |
| 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.
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About NPI 1760167928
Kendell Scott Wilson's National Provider Identifier is 1760167928, issued on Jun 15, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Griffin, GA. The record was last updated on Jun 15, 2023.