Kelsey K Labodi, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

901 8TH St S
Moorhead, MN 56562-0001

Phone

(701) 490-0552

NPI assigned

Mar 27, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1528563939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 AMBER VALLEY PKWY S APT 306",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048686",
            "telephone_number": "701-490-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 8TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565620001",
            "telephone_number": "701-490-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABODI",
        "first_name": "KELSEY",
        "middle_name": "K",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC NUMBER",
            "identifier": "2000025626",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Kunkel, M.D.
• Dawn M. Kuntz, LICSW
• Alisha Renee Kurkowski
• Colette Clarice Kuznia, MED MASTERS DEGREE I
• Tanner Kuznia, DC
• Miranda Irene Lacanne
• Leane Marie Lafrance, LADC, ADCR-MN
• Lake Side Living
• Rita Lall, LICENSED PSYCHOLOGIS
• Jacqueline Landis

• Athletic Trainer in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.