Kaitlyn Nicole Edison
Specialist/Technologist, Athletic Trainer in Saint Charles, MO. Individual provider (NPI-1).
NPI number1104388958
StatusActive
Last updated in NPPESJun 18, 2025
Details
- NPI
- 1104388958
- Entity type
- Individual (NPI-1)
- Name
- Kaitlyn Nicole Edison
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2019
- Certification date
- Jun 18, 2025
- Last updated
- Jun 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2020035528 | MO | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 096005299 | IL |
Practice location
2549 Hackmann RdSaint Charles, MO 63303-5452
Phone 636-851-4900
Mailing address
10717 Saint Bernard LnSaint Ann, MO 63074-2519
Phone 314-625-1802
Other practice locations
2053 Zumbehl Rd
Saint Charles, MO 63303-2723
Saint Charles, MO 63303-2723
Phone 636-940-2900
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All 37 Athletic Trainer providers in Saint Charles · All 2,178 providers in Saint Charles
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