Kelsey Elizabeth Knake
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Havana, IL
NPI 1508304718 · NPPES record last updated Feb 8, 2017
Key facts
- NPI
- 1508304718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 415 E Franklin St
Havana, IL 62644-1235 - Phone
- (309) 360-9660
- NPI assigned
- Feb 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
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
415 E Franklin St
Havana, IL 62644-1235
Mailing address
415 E Franklin St
Havana, IL 62644-1235
Phone (309) 360-9660
Other providers in Havana, IL
- Chase Holtman
- HSHS Medical Group Inc
- Justin Huggins
- Jenna Elizabeth Ishmael
- Marsha R Kirchner
- Sarah Knake
- Kelley D Lawless
- Liberty Dental, Inc
- Ashley Marmon
- Mason County
All providers in Havana, 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 Feb 8, 2017. 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.