NPI 1003623778

Kiernan McCormick

Practitioner Student in an Organized Health Care Education/Training Program Bloomington, IN

Practice location

Address: 2651 E Discovery Pkwy, Bloomington, IN 47408-9059
Phone: (812) 353-5252
Mailing address: 3209 E 10th St APT F9, Bloomington, IN 47408-2422

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003623778
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Dec 2024
Record last updated: 16 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.