Individual provider · Type 1 NPI
Konar Smith
Student in an Organized Health Care Education/Training Program · Angus, CA
NPI number
1932676715
Active
Practice location
34 Edenbridge Drive
Angus, CA L0M1B3
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1932676715
Konar Smith's National Provider Identifier is 1932676715, issued on Oct 30, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Angus, CA. The record was last updated on Oct 30, 2018.