Individual provider · Type 1 NPI

Savannah Lynn Kautz

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1790452860 Active

Practice location

1215 S Boulder Ave
Tulsa, OK 74119-2842

Mailing address

16800 W 151st St S
Kellyville, OK 74039-6109

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 1790452860

Savannah Lynn Kautz's National Provider Identifier is 1790452860, issued on Aug 26, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Aug 26, 2021.