person
Kendall Fagan
Student in an Organized Health Care Education/Training Program in Idaho Falls, Idaho
NPI 1053006049

Kendall Fagan is a Student in an Organized Health Care Education/Training Program based in Idaho Falls, ID. Kendall Fagan practices in Idaho Falls, ID. The NPI Number for Kendall Fagan is 1053006049 and holds a License No. (Idaho).

The current practice location address for Kendall Fagan is 980 12Th St, Idaho Falls, ID and can be reached out via phone at 530-526-1596.

Location: 980 12Th St, Idaho Falls, ID, 83404-5051
person
Provider Profile Details
NPI Number
1053006049
Provider Name
Kendall Fagan
Credential
Provider Entity Type
Individual
Gender
Female
Address
980 12Th St, Idaho Falls, ID, 83404-5051
Phone Number
530-526-1596
Fax Number
Provider Enumeration Date
04/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
980 12Th St
City
State
Zip
83404-5051
Phone Number
530-526-1596
Fax Number
person
Provider Business Mailing Address Details
Address
980 12Th St
City
State
Zip
83404-5051
Phone Number
530-526-1596
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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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