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KETIA MPOVILA MBIYAVANGA
NPI 1255205704
Student in an Organized Health Care Education/Training Program in Louisville, KY

Active since September 30, 2025
1733 HAROLD AVE, LOUISVILLE, KY 40210(859) 693-1407 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ketia Mpovila Mbiyavanga NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETIA MPOVILA MBIYAVANGA (NPI 1255205704) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1255205704
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKETIA MPOVILA MBIYAVANGA
Location Address1733 HAROLD AVELouisville, KY 40210-2227
Mailing Address509 Green Valley DrLexington, KY 40511-8851
Phone(859) 693-1407
Sole ProprietorYes
Enumeration DateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1255205704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
1733 HAROLD AVE, Louisville, KY 40210
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketia Mpovila Mbiyavanga's NPI number?

The NPI number for Ketia Mpovila Mbiyavanga is 1255205704. It was assigned to this individual provider in the NPPES registry on September 30, 2025.

Where is Ketia Mpovila Mbiyavanga located?

Ketia Mpovila Mbiyavanga practices at 1733 Harold Ave, Louisville, KY 40210. The listed phone number is (859) 693-1407.

What is Ketia Mpovila Mbiyavanga's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ketia Mpovila Mbiyavanga was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.