Kelsey Foss
Individual provider Active NPI Athletic Trainer · Roselle, IL
NPI 1194174540 · NPPES record last updated Jun 7, 2016
Key facts
- NPI
- 1194174540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- F20051293867 (IL)
- Practice address
- 527 May St
Roselle, IL 60172-1006 - Phone
- (847) 873-5235
- NPI assigned
- Jun 7, 2016
- 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 |
|---|---|---|---|
| F20051293867 | IL | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | F20051293867 | IL | Yes |
Addresses
Primary practice location
527 May St
Roselle, IL 60172-1006
Mailing address
527 May St
Roselle, IL 60172-1006
Other providers in Roselle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2016. 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.