Kentston Bauman, PA-C

NPI #1659006450 in South Hadley, Massachusetts

Provider Information

NPI Number: 1659006450
Entity Type: Individual
Name: Kentston Bauman, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: PA-C
Enumeration Date: Jul 18, 2022
Last Updated: Jul 18, 2022

Practice Location

Address: 103 WOODBRIDGE ST
City: South Hadley
State: Massachusetts
ZIP Code: 01075-1128
Phone: (734) 883-3203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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