Individual provider · Type 1 NPI

Jhitlada Kelly Saengsomphou

Student in an Organized Health Care Education/Training Program · China Grove, NC

NPI number 1790621043 Active

Practice location

1760 Patterson St
China Grove, NC 28023-6796

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X390200000X-STUDENT (NC)

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.

Other student in an organized health care education/training program providers in China Grove

See all in China Grove →

About NPI 1790621043

Jhitlada Kelly Saengsomphou's National Provider Identifier is 1790621043, issued on Apr 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in China Grove, NC. The record was last updated on Apr 28, 2026.