Individual provider · Type 1 NPI

Brendan Boyle

Student in an Organized Health Care Education/Training Program · Kirksville, MO

NPI number 1780190181 Active

Practice location

100 E Normal Ave
Kirksville, MO 63501-4200

Mailing address

3666 Chaney Ct
St. Louis, MO 63114-4101

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1780190181

Brendan Boyle's National Provider Identifier is 1780190181, issued on Dec 20, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kirksville, MO. The record was last updated on Dec 20, 2017.