Nathan Charles Kesel, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2008026071 Issued in MO

Practice address

Forsythe Athletics Ctr
901 South National Street
Springfield, MO 65897-0001

Phone

(417) 836-4715

NPI assigned

Sep 10, 2008

Last updated

Sep 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1659520013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 S GLENN AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101242",
            "telephone_number": "417-848-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FORSYTHE ATHLETICS CTR",
            "address_2": "901 SOUTH NATIONAL STREET",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658970001",
            "telephone_number": "417-836-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESEL",
        "first_name": "NATHAN",
        "middle_name": "CHARLES",
        "credential": "LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2008026071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Springfield, MO
• Providers in Springfield, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.