Kaitlyn Nicole Edison

Athletic Trainer · Saint Charles, MO

Individual Active NPI

NPI number 1104388958

Practice location

2549 Hackmann Rd
Saint Charles, MO 63303-5452
Phone
(636) 851-4900

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NPI record

NPI
1104388958
Entity type
Individual (Type 1)
Enumeration date
April 2, 2019
Last updated
June 18, 2025
Certified
June 18, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 2020035528 MO
Athletic Trainer 2255A2300X 096005299 IL

Mailing address

10717 Saint Bernard Ln
Saint Ann, MO 63074-2519
Phone
(314) 625-1802

Other practice locations (1)

  • 2053 Zumbehl Rd, Saint Charles, MO 63303-2723 · (636) 940-2900

About Kaitlyn Edison

Kaitlyn Nicole Edison is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 2549 Hackmann Rd, Saint Charles, MO 63303-5452. The NPI number 1104388958 was assigned on April 2, 2019 and the record was last updated on June 18, 2025.

Kaitlyn Edison lists 2 licenses in the registry: #2020035528 (MO) for Athletic Trainer; #096005299 (IL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kaitlyn Nicole Edison?

The NPI number is 1104388958.

What is the phone number of Kaitlyn Edison?

The phone number listed for the practice location is (636) 851-4900.

Where is Kaitlyn Edison located?

2549 Hackmann Rd, Saint Charles, MO 63303-5452.

What is the taxonomy code for Kaitlyn Edison?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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