Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaitlin Inniss

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831749852

Kaitlin Inniss is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

17017 N 12th St Unit 1003
Phoenix, AZ 85022-2031
Phone: (307) 421-6389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence ATR-009302 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (AZ)

Record details

NPI number1831749852
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 12, 2019
Last updated in NPPESMarch 26, 2022
Certification dateMarch 26, 2022

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