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

Individual provider Developmental Therapist · NPI 1821567306

Kelsey Waggoner is a Developmental Therapist in Gurnee, Illinois. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

6142 Newbury Ct
Gurnee, IL 60031-4731
Phone: (815) 529-5768
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Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1821567306
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 14, 2018
Last updated in NPPESNovember 14, 2018
Mailing address6142 Newbury Ct, Gurnee, IL 60031-4731

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