Individual provider · Type 1 NPI
Kyia Jazelle Bradshaw
Student in an Organized Health Care Education/Training Program · Forestville, MD
NPI number
1760393151
Active
Practice location
3900 Forestville Rd
Forestville, MD 20747-4715
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.
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Other student in an organized health care education/training program providers in Forestville
About NPI 1760393151
Kyia Jazelle Bradshaw's National Provider Identifier is 1760393151, issued on Sep 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Forestville, MD. The record was last updated on Sep 15, 2026.