Individual provider · Type 1 NPI
Kayla M. Koeppl, SAC-IT
Student in an Organized Health Care Education/Training Program · Menasha, WI
NPI number
1881918696
Active
Practice location
1095 Midway Rd
Menasha, WI 54952-1115
Fax (920) 720-3806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 15644 (WI) |
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 1881918696
Kayla M. Koeppl, SAC-IT's National Provider Identifier is 1881918696, issued on Mar 23, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Menasha, WI. The record was last updated on Mar 23, 2010.