KYLE T EBERSOLE (PHD, ATC, LAT) – Athletic Trainer, NPI 1972637858

KYLE T EBERSOLE (PHD, ATC, LAT) is a healthcare provider. based in Champaign, Illinois. specializing in Athletic Trainer. They hold the professional credentials PHD, ATC, LAT. The NPI Number for KYLE T EBERSOLE (PHD, ATC, LAT) is 1972637858

Main info

Male
Name
KYLE T EBERSOLE (PHD, ATC, LAT)
NPI
1972637858
Phone
(217) 417-0653
Address
2005 VALE ST
Enumeration Date
15 March 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for KYLE T EBERSOLE (PHD, ATC, LAT)

  • 2005 VALE ST

    CHAMPAIGN, IL 618223592

    Phone: (217) 417-0653

    Type: Mailing

  • DEPT OF KINES & COM HLTH, FREER HALL 209, MC-052

    UNIVERSITY OF ILLINOIS

    URBANA, IL 61801

    Phone: (217) 333-9517

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61822)

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Reviews

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Frequently asked questions

Where can patients find KYLE T EBERSOLE (PHD, ATC, LAT)'s NPI?
You can confirm KYLE T EBERSOLE (PHD, ATC, LAT) with NPI 1972637858; it appears in the national provider directory.
Is KYLE T EBERSOLE (PHD, ATC, LAT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KYLE T EBERSOLE (PHD, ATC, LAT) list a primary specialty?
If you are matching referrals, note Athletic Trainer for KYLE T EBERSOLE (PHD, ATC, LAT). Clinical services aligned with this taxonomy classification.
What location shows for KYLE T EBERSOLE (PHD, ATC, LAT)?
We surface Champaign, Illinois for KYLE T EBERSOLE (PHD, ATC, LAT) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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