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Kassidy Mikula

Student in an Organized Health Care Education/Training Program in Cincinnati, OH. Individual provider (NPI-1).

NPI number1669968871
StatusActive
Last updated in NPPESJul 11, 2018

Details

NPI
1669968871
Entity type
Individual (NPI-1)
Name
Kassidy Mikula
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 11, 2018
Last updated
Jul 11, 2018

Taxonomy and licenses

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

Practice location

3800 Victory Pkwy Unit 1
Cincinnati, OH 45207-1092

Phone 513-745-3000

Mailing address

2916 1/2 Markbreit Ave
Cincinnati, OH 45209-2022

Phone 586-744-2527

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