Wyatt Kinner
Student in an Organized Health Care Education/Training Program in Fond Du Lac, WI. Individual provider (NPI-1).
NPI number1316632532
StatusActive
Last updated in NPPESApr 10, 2023
Details
- NPI
- 1316632532
- Entity type
- Individual (NPI-1)
- Name
- Wyatt Kinner
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2023
- Certification date
- Apr 9, 2023
- Last updated
- Apr 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
430 E Division StFond Du Lac, WI 54935-4560
Phone 920-926-4200
Mailing address
430 E Division StFond Du Lac, WI 54935-4560
Phone 920-926-4200
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All 11 Student in an Organized Health Care Education/Training Program providers in Fond Du Lac · All 1,544 providers in Fond Du Lac
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