Individual provider · Type 1 NPI

Kristyn Taylor Fogg

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1760956445 Active

Practice location

2991 W School House Ln # 33
Philadelphia, PA 19144-5357

Call (757) 502-3020 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 1760956445

Kristyn Taylor Fogg's National Provider Identifier is 1760956445, issued on Jan 16, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 16, 2019.