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Kaitlyn Cheyenne Harris
Student in an Organized Health Care Education/Training Program in Poplar Bluff, Missouri
NPI 1992487342

Kaitlyn Cheyenne Harris is a Student in an Organized Health Care Education/Training Program based in Poplar Bluff, MO. Kaitlyn Cheyenne Harris practices in Poplar Bluff, MO. The NPI Number for Kaitlyn Cheyenne Harris is 1992487342 and holds a License No. (Missouri).

The current practice location address for Kaitlyn Cheyenne Harris is 568 County Road 4222, Poplar Bluff, MO and can be reached out via phone at 573-707-0829.

Location: 568 County Road 4222, Poplar Bluff, MO, 63901-8047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992487342
Provider Name
Kaitlyn Cheyenne Harris
Credential
Provider Entity Type
Individual
Gender
Female
Address
568 County Road 4222, Poplar Bluff, MO, 63901-8047
Phone Number
573-707-0829
Fax Number
Provider Enumeration Date
08/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
568 County Road 4222
City
Poplar Bluff
State
Missouri
Zip
63901-8047
Phone Number
573-707-0829
Fax Number
person
Provider Business Mailing Address Details
Address
568 County Road 4222
City
Poplar Bluff
State
Missouri
Zip
63901-8047
Phone Number
573-707-0829
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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