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

Individual provider Athletic Trainer · NPI 1174080352

Kallie Daniele Van Coppenolle is an Athletic Trainer in Streetsboro, Ohio. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

339 Opal Ct
Streetsboro, OH 44241-4147
Phone: (330) 780-1369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1174080352
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 25, 2019
Last updated in NPPESSeptember 11, 2025

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