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Brady Jane Kicklighter
Student in an Organized Health Care Education/Training Program in Statesboro, Georgia
NPI 1902689466

Brady Jane Kicklighter is a Student in an Organized Health Care Education/Training Program based in Glennville, GA. Brady Jane Kicklighter practices in Statesboro, GA. The NPI Number for Brady Jane Kicklighter is 1902689466 and holds a License No. (Georgia).

The current practice location address for Brady Jane Kicklighter is 3 Paradise Cv, Statesboro, GA and can be reached out via phone at 912-318-5361.

Location: 3 Paradise Cv, Statesboro, GA, 30427-6042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902689466
Provider Name
Brady Jane Kicklighter
Credential
Provider Entity Type
Individual
Gender
Female
Address
3 Paradise Cv, Statesboro, GA, 30427-6042
Phone Number
912-318-5361
Fax Number
Provider Enumeration Date
08/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3 Paradise Cv
City
Statesboro
State
Georgia
Zip
30458-2461
Phone Number
912-318-5361
Fax Number
person
Provider Business Mailing Address Details
Address
3 Paradise Cv
City
Statesboro
State
Georgia
Zip
30458-2461
Phone Number
912-318-5361
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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