Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Kirksey

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316528565

Jeremy Kirksey is a Student in an Organized Health Care Education/Training Program in Fontana, California. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

13555 Columbus Ct
Fontana, CA 92336-3427
Phone: (909) 646-0916
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1316528565
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 19, 2021
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021

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