Individual provider · NPI-1

Khiana Rankins

Student in an Organized Health Care Education/Training Program · Lithonia, GA

NPI number1417753443
StatusActive
Last updated in NPPESFeb 20, 2025

Details

NPI
1417753443
Entity type
Individual (NPI-1)
Name
Khiana Rankins
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 20, 2025
Certification date
Feb 20, 2025
Last updated
Feb 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

5417 Shirewick Ln
Lithonia, GA 30058-3865

Phone 404-642-5392

Mailing address

5417 Shirewick Ln
Lithonia, GA 30058-3865

Phone 404-642-5392

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