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Kyla Long
Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana
NPI 1063271583

Kyla Long is a Student in an Organized Health Care Education/Training Program based in Middlebury, IN. Kyla Long practices in Mishawaka, IN. The NPI Number for Kyla Long is 1063271583 and holds a License No. (Indiana).

The current practice location address for Kyla Long is 611 E Douglas Rd Ste 406, Mishawaka, IN and can be reached out via phone at 574-335-6514.

Location: 611 E Douglas Rd Ste 406, Mishawaka, IN, 46540-9139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063271583
Provider Name
Kyla Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
611 E Douglas Rd Ste 406, Mishawaka, IN, 46540-9139
Phone Number
574-335-6514
Fax Number
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
611 E Douglas Rd Ste 406
City
Mishawaka
State
Indiana
Zip
46545-1468
Phone Number
574-335-6514
Fax Number
person
Provider Business Mailing Address Details
Address
611 E Douglas Rd Ste 406
City
Mishawaka
State
Indiana
Zip
46545-1468
Phone Number
574-335-6514
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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