Kelsey Elizabeth Knake

NPI #1508304718 in Havana, Illinois

Provider Information

NPI Number: 1508304718
Entity Type: Individual
Name: Kelsey Elizabeth Knake
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 8, 2017
Last Updated: Feb 8, 2017

Practice Location

Address: 415 E FRANKLIN ST
City: Havana
State: Illinois
ZIP Code: 62644-1235
Phone: (309) 360-9660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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