Individual provider · Type 1 NPI

Jacob Gray

Student in an Organized Health Care Education/Training Program · Kalamazoo, MI

NPI number 1801348669 Active

Practice location

415 E Glenguile St
Kalamazoo, MI 49004-1429

Call (269) 762-2782 Map

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 1801348669

Jacob Gray's National Provider Identifier is 1801348669, issued on Oct 27, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kalamazoo, MI. The record was last updated on Oct 27, 2016.