Individual provider · Type 1 NPI
Crysson Kornegay
Student in an Organized Health Care Education/Training Program · Randolph, AL
NPI number
1790410165
Active
Practice location
11099 Highway 139
Randolph, AL 36792-5215
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.
About NPI 1790410165
Crysson Kornegay's National Provider Identifier is 1790410165, issued on Jul 20, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Randolph, AL. The record was last updated on Jul 20, 2022.