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Kort Thomas Braeutigam, MHA
Student in an Organized Health Care Education/Training Program in Orange Park, Florida
NPI 1659073435

Kort Thomas Braeutigam is a Student in an Organized Health Care Education/Training Program based in Orange Park, FL. Kort Thomas Braeutigam practices in Orange Park, FL and has the professional credentials of MHA. The NPI Number for Kort Thomas Braeutigam is 1659073435 and holds a License No. (Florida).

The current practice location address for Kort Thomas Braeutigam is 2001 Kingsley Ave, Orange Park, FL and can be reached out via phone at 904-639-2022.

Location: 2001 Kingsley Ave, Orange Park, FL, 32073-5148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659073435
Provider Name
Kort Thomas Braeutigam
Credential
MHA
Provider Entity Type
Individual
Gender
Male
Address
2001 Kingsley Ave, Orange Park, FL, 32073-5148
Phone Number
904-639-2022
Fax Number
Provider Enumeration Date
03/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2001 Kingsley Ave
City
Orange Park
State
Florida
Zip
32073-5148
Phone Number
904-639-2022
Fax Number
person
Provider Business Mailing Address Details
Address
2001 Kingsley Ave
City
Orange Park
State
Florida
Zip
32073-5148
Phone Number
904-639-2022
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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