Kresta L Bosley, MS ATC LAT
Individual provider Active NPI Athletic Trainer · Wichita, KS
NPI 1710257530 · NPPES record last updated Jan 10, 2012
Key facts
- NPI
- 1710257530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 24-00524
- Practice address
- 2100 W University Ave
Wichita, KS 67213-3379 - Phone
- (316) 295-5419
- Fax
- (316) 295-5030
- NPI assigned
- Jan 10, 2012
- 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
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 24-00524 | Yes |
Addresses
Primary practice location
2100 W University Ave
Wichita, KS 67213-3379
Mailing address
2100 W University Ave
Wichita, KS 67213-3379
Phone (316) 295-5419
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2012. 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.