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Kevin Pack
Student in an Organized Health Care Education/Training Program in Huntington Beach, California
NPI 1831442961

Kevin Pack is a Student in an Organized Health Care Education/Training Program based in Santa Ana, CA. Kevin Pack practices in Huntington Beach, CA. The NPI Number for Kevin Pack is 1831442961 and holds a License No. (California).

The current practice location address for Kevin Pack is 2124 Main St, Huntington Beach, CA and can be reached out via phone at 714-536-0077.

Location: 2124 Main St, Huntington Beach, CA, 92704-6928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831442961
Provider Name
Kevin Pack
Credential
Provider Entity Type
Individual
Gender
Male
Address
2124 Main St, Huntington Beach, CA, 92704-6928
Phone Number
714-536-0077
Fax Number
Provider Enumeration Date
10/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2124 Main St
City
Huntington Beach
State
California
Zip
92648-2405
Phone Number
714-536-0077
Fax Number
person
Provider Business Mailing Address Details
Address
2124 Main St
City
Huntington Beach
State
California
Zip
92648-2405
Phone Number
714-536-0077
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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