Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLYN NICOLE EDISON
ActiveKAITLYN NICOLE EDISON is a Athletic Trainer healthcare provider located in SAINT CHARLES, Missouri. NPI 1104388958 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SAINT CHARLES, MO
Registration Details
- NPI Number
- 1104388958
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2019 (7.3876761461415 yrs)
- Last Updated
- Jun 18, 2025
- Licenses
-
096005299 (IL)2020035528 (MO)
Practice Information
- Address
-
2549 HACKMANN RDSAINT CHARLES, MO, 633035452Browse MO providers · Browse ZIP 63303
- Phone
- 6368514900
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in SAINT CHARLES, MO
| Name | Credential | NPI |
|---|---|---|
| MR. RANDY LEE BIGGERSTAFF | ATC | 1063471142 |
| MRS. ANNA LYNN LEYLAND | ATC | 1548563604 |
| MRS. EMILY RENEE GROZDANIC | ATC | 1952665713 |
| RUTH YOUNG | ATC, LAT | 1477956969 |
| TRICIA WALKER | — | 1811385362 |
| ANNE HERRERA | ATC | 1972997658 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.