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General NPI Number Information
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NPI Number | 1487137659
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Entity Type | Individual
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Provider Name | KELSEY KITCHEL OTD, OTR/L, ATC
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Gender | Female
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Dates
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Enumeration Date | 09/12/2018
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 4850 E MAIN ST
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City | COLUMBUS
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State | OH
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Zip | 43213-3194
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Country | US
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Telephone | 614-788-4050
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Fax |
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Provider Business Mailing Address
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Address Line | 975 BAYRIDGE DR
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City | LEWIS CENTER
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State | OH
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Zip | 43035-9568
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Country | US
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Telephone | 937-694-7052
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT006580
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT13363
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License Number State | OH
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