| Specialty | Taxonomy Code | |
|---|---|---|
| * | Family | 363LF0000X |
| Athletic Trainer | 2255A2300X | |
| Emergency Medical Technician, Intermediate | 146M00000X |
* Indicates primary specialty
| NPI Number | 1023566387 |
| Credentials | ATC/LAT, EMT-I |
| Entity | Individual |
| Enumeration date | 09/15/2016 |
| Last updated | 12/11/2025 - About 6 months ago |
| Sole proprietor1 | No |
| Identifiers |
|
| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
There are currently no reviews for KALLI P ADDISON, ATC/LAT, EMT-I