Kelsey Lepore, ATC
Individual provider Active NPI Athletic Trainer · Mitchell, IN
NPI 1134613482 · NPPES record last updated Jun 20, 2018
Key facts
- NPI
- 1134613482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 36002213A (IN)
- Practice address
- 1000 W Bishop Blvd
Mitchell, IN 47446-1080 - Phone
- (812) 849-3663
- NPI assigned
- Jun 20, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36002213A | IN | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36002213A | IN | Yes |
Addresses
Primary practice location
1000 W Bishop Blvd
Mitchell, IN 47446-1080
Mailing address
909 E Eminence Way
Bloomington, IN 47401-4524
Phone (401) 487-1146
Other providers in Mitchell, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.