Kelcey Granger
Individual provider Active NPI Athletic Trainer · McCordsville, IN
NPI 1700306248 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1700306248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 10430 Austin PL
McCordsville, IN 46055-9623 - Phone
- (317) 435-6405
- NPI assigned
- Jun 26, 2017
- 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 | Yes |
Addresses
Primary practice location
10430 Austin PL
McCordsville, IN 46055-9623
Mailing address
10430 Austin PL
McCordsville, IN 46055-9623
Phone (317) 435-6405
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390200000X | Other | IN | 22555A2300X |
Other providers in McCordsville, IN
- Jamie Gary
- Geist Montessori Academy
- Generational Trust Home Care, LLC
- Genos Touch
- Gifted Hands Care Agency LLC
- Michelle Graves
- Green House and Associates Inc
- H&M Home Care Services LLP
- Hancock Regional Hospital
- Hancock Regional Hospital
All providers in McCordsville, IN · Athletic Trainer in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.