Individual provider · Type 1 NPI

Katelyn Irene Benner, EMT-B

Student in an Organized Health Care Education/Training Program · Moscow, ID

NPI number 1952093353 Active

Practice location

875 Perimeter Dr
Moscow, ID 83844-9803

Call (208) 885-2182 Map

Mailing address

17045 Dapple Gray Rd
Cottonwood, CA 96022-9636

Specialties and licenses

TaxonomyCodeLicense
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000XNone 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 1952093353

Katelyn Irene Benner, EMT-B's National Provider Identifier is 1952093353, issued on May 23, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moscow, ID. The record was last updated on May 25, 2023.