BRANDON KLECKNER NPI 1023416021

NPI Information

NPI: 1023416021
Provider Name: BRANDON KLECKNER
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
10339 KING RD
PLYMOUTH, IN
ZIP 46563
Phone: (574) 952-9260
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Brandon Kleckner is a student in an organized health care education training program in Plymouth, IN. The provider is 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. Brandon Kleckner NPI is 1023416021. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10339 KING RD
PLYMOUTH, IN
ZIP 46563-651
Phone: (574) 952-9260

The enumeration date for this NPI number is 12/8/2014 and was last updated on 12/8/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2255A2300X	Specialist/Technologist	Athletic Trainer			No
2	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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