KELLY M MIELKE CAADE-CATC INTERN - NPI 1619095171 - Student in an Organized Health Care Education/Training Program in Thousand Oaks, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Kelly M Mielke Caade-catc Intern NPPES

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

KELLY M MIELKE CAADE-CATC INTERN (NPI 1619095171) is an individual student in an organized health care education/training program in Thousand Oaks, California and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1619095171

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKELLY M MIELKECredential: CAADE-CATC INTERN

Location Address1125 BUSINESS CENTER CIR, SUITE BThousand Oaks, CA 91320-1184

Mailing Address1125 Business Center Cir, Suite BThousand Oaks, CA 91320-1184 · (805) 375-9100 · Fax (805) 375-9920

Phone(805) 375-9100

Fax(805) 375-9920

Sole ProprietorNo

Enumeration DateMarch 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619095171 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.

1125 BUSINESS CENTER CIR, Thousand Oaks, CA 91320

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