Individual provider · Type 1 NPI

Samantha Jane Atkielski

Student in an Organized Health Care Education/Training Program · Kenosha, WI

NPI number 1972015758 Active

Practice location

6911 53rd St
Kenosha, WI 53144-3772

Call (847) 610-0777 Map

Mailing address

6911 53rd Street, 133
Kenosha, WI 53144

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 1972015758

Samantha Jane Atkielski's National Provider Identifier is 1972015758, issued on Nov 1, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kenosha, WI. The record was last updated on Nov 1, 2017.