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Kentston Bauman, PA-C
Student in an Organized Health Care Education/Training Program in South Hadley, Massachusetts
NPI 1659006450

Kentston Bauman is a Student in an Organized Health Care Education/Training Program based in South Hadley, MA. Kentston Bauman practices in South Hadley, MA and has the professional credentials of PA-C. The NPI Number for Kentston Bauman is 1659006450 and holds a License No. (Massachusetts).

The current practice location address for Kentston Bauman is 103 Woodbridge St, South Hadley, MA and can be reached out via phone at 734-883-3203.

Location: 103 Woodbridge St, South Hadley, MA, 01075-1128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659006450
Provider Name
Kentston Bauman
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
103 Woodbridge St, South Hadley, MA, 01075-1128
Phone Number
734-883-3203
Fax Number
Provider Enumeration Date
07/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
103 Woodbridge St
City
South Hadley
State
Massachusetts
Zip
01075-1128
Phone Number
734-883-3203
Fax Number
person
Provider Business Mailing Address Details
Address
103 Woodbridge St
City
South Hadley
State
Massachusetts
Zip
01075-1128
Phone Number
734-883-3203
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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