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Kyle Datz
Student in an Organized Health Care Education/Training Program in Freeland, Pennsylvania
NPI 1669841391

Kyle Datz is a Student in an Organized Health Care Education/Training Program based in Freeland, PA. Kyle Datz practices in Freeland, PA. The NPI Number for Kyle Datz is 1669841391 and holds a License No. (Pennsylvania).

The current practice location address for Kyle Datz is 311 Ridge St, Freeland, PA and can be reached out via phone at 570-814-0375.

Location: 311 Ridge St, Freeland, PA, 18224-2021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669841391
Provider Name
Kyle Datz
Credential
Provider Entity Type
Individual
Gender
Male
Address
311 Ridge St, Freeland, PA, 18224-2021
Phone Number
570-814-0375
Fax Number
Provider Enumeration Date
09/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
311 Ridge St
City
Freeland
State
Pennsylvania
Zip
18224-2021
Phone Number
570-814-0375
Fax Number
person
Provider Business Mailing Address Details
Address
311 Ridge St
City
Freeland
State
Pennsylvania
Zip
18224-2021
Phone Number
570-814-0375
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Specialist/Technologist
Speciality
-
Taxonomy
225500000X
License No.
()
Definition
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
person
Provider's Taxonomy Details 2
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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