Kiersten Ashley Banks

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Syracuse, UT

NPI 1245997907 · NPPES record last updated Nov 17, 2021

Key facts

NPI
1245997907
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
591 W 2300 S
Syracuse, UT 84075-8106
Phone
(801) 678-6243
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

591 W 2300 S
Syracuse, UT 84075-8106

Mailing address

591 W 2300 S
Syracuse, UT 84075-8106

Other providers in Syracuse, UT

All providers in Syracuse, UT · Student in an Organized Health Care Education/Training Program in Utah

Sources for this page

Verify at the official NPI Registry.