Individual provider · Type 1 NPI

Kirsten Rhea Southerland

Student in an Organized Health Care Education/Training Program · Columbia, MO

NPI number 1922567536 Active

Practice location

600 E Stadium Blvd
Columbia, MO 65211-0001

Call (573) 882-2121 Map

Mailing address

3231 Old 63 S
Columbia, MO 65201-5369

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 1922567536

Kirsten Rhea Southerland's National Provider Identifier is 1922567536, issued on Mar 14, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbia, MO. The record was last updated on Mar 14, 2019.