MEDICARE: KELSEY TRONCALE PPS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YS0200X	School Counselor		CA

General Provider Information

NPI Number	:	1366374464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY TRONCALE PPS

Provider Business Mailing Address
First Line	:	955 INSPIRATION PL
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96003-8297
Country	:	US
Telephone Number	:	530-247-6933
Fax Number	:

Provider Business Practice Location Address
First Line	:	955 INSPIRATION PL
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96003-8297
Country	:	US
Telephone Number	:	530-247-6933
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ KELSEY TRONCALE PPS” Practice Location

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