Individual provider · Type 1 NPI

Kalah Irene Hickox

Student in an Organized Health Care Education/Training Program · Bend, OR

NPI number 1902765373 Active

Practice location

61690 Pettigrew Rd
Bend, OR 97702-2422

Call (541) 617-0377 Map

Specialties and licenses

TaxonomyCodeLicense
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 1902765373

Kalah Irene Hickox's National Provider Identifier is 1902765373, issued on Jan 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bend, OR. The record was last updated on Jan 20, 2026.