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Kaylee Pruitt
Student in an Organized Health Care Education/Training Program in San Angelo, Texas
NPI 1659095230

Kaylee Pruitt is a Student in an Organized Health Care Education/Training Program based in San Angelo, TX. Kaylee Pruitt practices in San Angelo, TX. The NPI Number for Kaylee Pruitt is 1659095230 and holds a License No. 120288 (Texas).

The current practice location address for Kaylee Pruitt is 309 W Avenue M, San Angelo, TX and can be reached out via phone at 325-657-4055.

Location: 309 W Avenue M, San Angelo, TX, 76905-2306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659095230
Provider Name
Kaylee Pruitt
Credential
Provider Entity Type
Individual
Gender
Female
Address
309 W Avenue M, San Angelo, TX, 76905-2306
Phone Number
325-657-4055
Fax Number
Provider Enumeration Date
09/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
309 W Avenue M
City
San Angelo
State
Texas
Zip
76903-8414
Phone Number
325-657-4055
Fax Number
person
Provider Business Mailing Address Details
Address
309 W Avenue M
City
San Angelo
State
Texas
Zip
76903-8414
Phone Number
325-657-4055
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.
120288 (Texas)
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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