IndividualActive
Ali Siddiqui
NPI 1700775863 · Student in an Organized Health Care Education/Training Program · Kirksville, MO
Provider details
- NPI number
- 1700775863
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
- License
- 2025025808 (MO)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 2025025808 (MO)
Student, Health Care
Practice location
1607 S Baltimore St Fl 2
Kirksville, MO 63501-4536
Phone: (660) 627-3363
Approximate (ZIP-level) locationGet directions
Mailing address
1607 S Baltimore St Fl 2
Kirksville, MO 63501-4536
Registry dates
- Enumerated
- 2025-07-01
- Last updated
- 2025-07-01
- Certified
- 2025-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.