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

Kaitlyn Nicole Edison

Individual provider Athletic Trainer · NPI 1104388958

Kaitlyn Nicole Edison is an Athletic Trainer in Saint Charles, Missouri. Works from 2 locations. Licensed in Illinois and Missouri.

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

2549 Hackmann Rd
Saint Charles, MO 63303-5452
Phone: (636) 851-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2020035528 (MO)
Athletic Trainer Taxonomy 2255A2300X · Licence 096005299 (IL)

Record details

NPI number1104388958
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2019
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

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