Kaitlyn Ann Carleton
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Philo, IL
NPI 1467902882 · NPPES record last updated Oct 10, 2016
Key facts
- NPI
- 1467902882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 11 Kennedy CT
Philo, IL 61864-9759 - Phone
- (217) 722-7698
- NPI assigned
- Oct 10, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
11 Kennedy CT
Philo, IL 61864-9759
Mailing address
11 Kennedy CT
Philo, IL 61864
Phone (217) 722-7698
Other providers in Philo, IL
- Accelerated Rehabilitation Centers LTD
- Center for Your Health LTD
- Nathan Shawn Gavel
- Susan K Mantell
- Earl D. Martin
- Kelly E. Morrison
All providers in Philo, IL · Student in an Organized Health Care Education/Training Program in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 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.