Individual provider · Type 1 NPI
Kyler Ross Debruyn
Student in an Organized Health Care Education/Training Program · Jenison, MI
NPI number
1972950301
Active
Practice location
1932 Cedarbrook Drive
Jenison, MI 49428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
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About NPI 1972950301
Kyler Ross Debruyn's National Provider Identifier is 1972950301, issued on May 16, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jenison, MI. The record was last updated on May 16, 2016.