Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KODY ANDERSON
ActiveKODY ANDERSON is a Athletic Trainer healthcare provider located in DEKALB, Illinois. NPI 1902384936 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DEKALB, IL
Registration Details
- NPI Number
- 1902384936
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2018 (8.0114227038688 yrs)
- Last Updated
- Aug 1, 2018
- License
-
096003785 (IL)
Practice Information
- Address
-
1525 W LINCOLN HWYDEKALB, IL, 601153989Browse IL providers · Browse ZIP 60115
- Phone
- 8152431824
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in DEKALB, IL
| Name | Credential | NPI |
|---|---|---|
| MR. PHILLIP EDWARD VOORHIS | ATC, MSED. | 1205805041 |
| MR. NATHANIEL DAVID VILAND | A.T.C. | 1124131800 |
| GRAZIELLA GENTILE | ATC | 1649301045 |
| KAMMY JANE POWELL | M.S., ATC | 1871731604 |
| NATALIE R MECKSTROTH | MA, ATC | 1063656163 |
| NICHOLAS E GRAHOVEC | ATC | 1568746477 |
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.