MEDICARE: KELSEY ANN VOGA ATC

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	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1336596071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY ANN VOGA ATC

Provider Business Mailing Address
First Line	:	2000 W UNIVERSITY AVE
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47306-1022
Country	:	US
Telephone Number	:	720-413-2471
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 W UNIVERSITY AVE
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47306-1022
Country	:	US
Telephone Number	:	765-285-4469
Fax Number	:

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

Provider Enumeration Date	:	05/23/2016
Last Update Date	:	04/14/2025

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Directions to “ KELSEY ANN VOGA ATC” Practice Location

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