person
Tyla Nicole Kelley
Student in an Organized Health Care Education/Training Program in Portland, Maine
NPI 1679352207

Tyla Nicole Kelley is a Student in an Organized Health Care Education/Training Program based in Portland, ME. Tyla Nicole Kelley practices in Portland, ME. The NPI Number for Tyla Nicole Kelley is 1679352207 and holds a License No. (Maine).

The current practice location address for Tyla Nicole Kelley is 716 Stevens Ave, Portland, ME and can be reached out via phone at 843-819-2310.

Location: 716 Stevens Ave, Portland, ME, 04103-2656
person
Provider Profile Details
NPI Number
1679352207
Provider Name
Tyla Nicole Kelley
Credential
Provider Entity Type
Individual
Gender
Female
Address
716 Stevens Ave, Portland, ME, 04103-2656
Phone Number
843-819-2310
Fax Number
Provider Enumeration Date
09/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
716 Stevens Ave
City
State
Zip
04103-2656
Phone Number
843-819-2310
Fax Number
person
Provider Business Mailing Address Details
Address
716 Stevens Ave
City
State
Zip
04103-2656
Phone Number
843-819-2310
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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