Individual provider · Type 1 NPI

Kennedy Lyon

Student in an Organized Health Care Education/Training Program · North Charleston, SC

NPI number 1851217772 Active

Practice location

9200 University Blvd
North Charleston, SC 29406-9121

Call (843) 789-9722 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 1851217772

Kennedy Lyon's National Provider Identifier is 1851217772, issued on Jun 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in North Charleston, SC. The record was last updated on Jun 25, 2026.