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Kaylene Bay Matlack
Student in an Organized Health Care Education/Training Program in Emporia, Kansas
NPI 1720860935

Kaylene Bay Matlack is a Student in an Organized Health Care Education/Training Program based in Burrton, KS. Kaylene Bay Matlack practices in Emporia, KS. The NPI Number for Kaylene Bay Matlack is 1720860935 and holds a License No. (Kansas).

The current practice location address for Kaylene Bay Matlack is 1 Kellogg Cir, Emporia, KS and can be reached out via phone at 620-931-8263.

Location: 1 Kellogg Cir, Emporia, KS, 67020-8877
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720860935
Provider Name
Kaylene Bay Matlack
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Kellogg Cir, Emporia, KS, 67020-8877
Phone Number
620-931-8263
Fax Number
Provider Enumeration Date
10/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Kellogg Cir
City
Emporia
State
Kansas
Zip
66801-5087
Phone Number
620-931-8263
Fax Number
person
Provider Business Mailing Address Details
Address
1 Kellogg Cir
City
Emporia
State
Kansas
Zip
66801-5087
Phone Number
620-931-8263
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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