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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELSEY ELIZABETH KIENZLE, MS, LAT, ATC

Active Sole Proprietor

KELSEY ELIZABETH KIENZLE, MS, LAT, ATC is a Athletic Trainer healthcare provider located in PROSPECT PARK, Pennsylvania. NPI 1124668736 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · PROSPECT PARK, PA

Registration Details

NPI Number
1124668736
Provider Type
Individual
Gender
Female
NPI Issued
Jan 11, 2020 (6.569475280282 yrs)
Last Updated
Jul 10, 2024
License
RT007544 (PA)
Sole Proprietor
Yes

Practice Information

Address
500 16TH AVE
PROSPECT PARK, PA, 190761120
Browse PA providers · Browse ZIP 19076
Phone
6102376410
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in PROSPECT PARK, PA

Name Credential NPI
JON R MATHIS 1063970291
APRIL LEFFLER MA 1154967867
RANDY W DILLON MS,ATC,LAT, LMT, PES 1043810021
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.