Tyler Kingma - Hartford, CT

Tyler Kingma

Student in an Organized Health Care Education/Training Program in Hartford, Connecticut

NPI 1306535141

Tyler Kingma is a Student in an Organized Health Care Education/Training Program based in Farmington, CT. Tyler Kingma practices in Hartford, CT. The NPI Number for Tyler Kingma is 1306535141 and holds a License No. (Connecticut).

The current practice location address for Tyler Kingma is 1000 Asylum Ave Rm 1004, Hartford, CT and can be reached out via phone at 860-714-4532 and via fax at 860-714-8275.

Location: 1000 Asylum Ave Rm 1004, Hartford, CT, 06030-1921

NPI Number

1306535141

Provider Name

Tyler Kingma

Credential

Provider Entity Type

Individual

Gender

Male

Address

1000 Asylum Ave Rm 1004, Hartford, CT, 06030-1921

Phone Number

860-714-4532

Fax Number

860-714-8275

Provider Enumeration Date

05/08/2023

Last Update Date

03/10/2024

Address

1000 Asylum Ave Rm 1004

City

Hartford

State

Connecticut

Zip

06105-1701

Phone Number

860-714-4532

Fax Number

860-714-8275

Address

1000 Asylum Ave Rm 1004

City

Hartford

State

Connecticut

Zip

06105-1701

Phone Number

860-714-4532

Fax Number

860-714-8275

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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