| NPI | 1992746838 |
|---|---|
| Doing Business As | USA STUDENT HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | BEVERLY KELLEN Practice Director 251-460-7681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2016-08-23 |