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Kaleb Ellison
Student in an Organized Health Care Education/Training Program in Rainelle, West Virginia
NPI 1730626052

Kaleb Ellison is a Student in an Organized Health Care Education/Training Program based in Rainelle, WV. Kaleb Ellison practices in Rainelle, WV. The NPI Number for Kaleb Ellison is 1730626052 and holds a License No. (West Virginia).

The current practice location address for Kaleb Ellison is 227 Cherry St, Rainelle, WV and can be reached out via phone at 304-880-0049.

Location: 227 Cherry St, Rainelle, WV, 25962-1003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730626052
Provider Name
Kaleb Ellison
Credential
Provider Entity Type
Individual
Gender
Male
Address
227 Cherry St, Rainelle, WV, 25962-1003
Phone Number
304-880-0049
Fax Number
Provider Enumeration Date
01/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
227 Cherry St
City
Rainelle
State
West Virginia
Zip
25962-1003
Phone Number
304-880-0049
Fax Number
person
Provider Business Mailing Address Details
Address
227 Cherry St
City
Rainelle
State
West Virginia
Zip
25962-1003
Phone Number
304-880-0049
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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