person
Kylie Rosaline Anderson
Student in an Organized Health Care Education/Training Program in Pocatello, Idaho
NPI 1396516738

Kylie Rosaline Anderson is a Student in an Organized Health Care Education/Training Program based in Ashton, ID. Kylie Rosaline Anderson practices in Pocatello, ID. The NPI Number for Kylie Rosaline Anderson is 1396516738 and holds a License No. (Idaho).

The current practice location address for Kylie Rosaline Anderson is 921 S 8Th Ave Stop 8619, Pocatello, ID and can be reached out via phone at 208-201-7854.

Location: 921 S 8Th Ave Stop 8619, Pocatello, ID, 83420-0322
person
Provider Profile Details
NPI Number
1396516738
Provider Name
Kylie Rosaline Anderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
921 S 8Th Ave Stop 8619, Pocatello, ID, 83420-0322
Phone Number
208-201-7854
Fax Number
Provider Enumeration Date
01/15/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
921 S 8Th Ave Stop 8619
City
State
Zip
83209-0001
Phone Number
208-201-7854
Fax Number
person
Provider Business Mailing Address Details
Address
921 S 8Th Ave Stop 8619
City
State
Zip
83209-0001
Phone Number
208-201-7854
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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