Ian Alexander McKissick
Ian Alexander McKissick is a Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
Albuquerque, NMNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1548941800 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 28, 2023 |
| Last updated in NPPES | July 28, 2023 |
| Certification date | July 28, 2023 |
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