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Kaitlyn Edmondson
Student in an Organized Health Care Education/Training Program in Broken Arrow, Oklahoma
NPI 1750926960

Kaitlyn Edmondson is a Student in an Organized Health Care Education/Training Program based in Broken Arrow, OK. Kaitlyn Edmondson practices in Broken Arrow, OK. The NPI Number for Kaitlyn Edmondson is 1750926960 and holds a License No. (Oklahoma).

The current practice location address for Kaitlyn Edmondson is 4109 S Redwood Ave, Broken Arrow, OK and can be reached out via phone at 918-845-6275.

Location: 4109 S Redwood Ave, Broken Arrow, OK, 74011-1475
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750926960
Provider Name
Kaitlyn Edmondson
Credential
Provider Entity Type
Individual
Gender
Female
Address
4109 S Redwood Ave, Broken Arrow, OK, 74011-1475
Phone Number
918-845-6275
Fax Number
Provider Enumeration Date
11/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4109 S Redwood Ave
City
Broken Arrow
State
Oklahoma
Zip
74011-1475
Phone Number
918-845-6275
Fax Number
person
Provider Business Mailing Address Details
Address
4109 S Redwood Ave
City
Broken Arrow
State
Oklahoma
Zip
74011-1475
Phone Number
918-845-6275
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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