Wedwick, Kelsey R

Wedwick, Kelsey R is an individual health care provider with primary practice located at 420 N Illinois Rte 31 , Crystal Lake IL 60012. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Wedwick, Kelsey R can be contacted via phone (815) 656-5600.

Contact Information

Primary practice address
420 N Illinois Rte 31 Crystal Lake IL 60012
Phone: (815) 656-5600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096004094 Illinois

Profile Details

NPI number 1154032274
LBN Legal business name Wedwick, Kelsey R
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2022
Last updated Dec 9th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154032274 NPPES
Other 2000009754 ATHLETIC TRAINING BOARD OF CERTIFICATION

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