Individual provider · Type 1 NPI

Keyonna Sturdivant

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1790390631 Active

Practice location

601 S Martin Luther King Jr Dr Fl 432
Winston Salem, NC 27110-0003

Call (336) 750-3177 Map

Mailing address

601 S Martin Luther King Dr
Winston Salem, NC 27110-0001

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000XNone 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 1790390631

Keyonna Sturdivant's National Provider Identifier is 1790390631, issued on Sep 8, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Sep 8, 2020.