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NPI Code Detail

MEDICARE: KELI POIRIER MS, ATC, LAT

MEDICARE:   KELI  POIRIER  MS, ATC, LAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerLAT-3015NC

General Provider Information

NPI Number : 1801327887
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELI POIRIER MS, ATC, LAT
Provider Business Mailing Address
First Line : 145 MAIN ST
Second Line :
City : DURHAM
State : NH
Zip : 03824-3572
Country : US
Telephone Number : 978-790-8218
Fax Number :
Provider Business Practice Location Address
First Line : 145 MAIN ST
Second Line :
City : DURHAM
State : NH
Zip : 03824-3572
Country : US
Telephone Number : 978-790-8218
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2017
Last Update Date : 03/17/2018

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Directions to “ KELI POIRIER MS, ATC, LAT” Practice Location

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