NPI 1518241413
Kevin Theriault
Practice location
- Address
- 120 W Minot Rd, Minot, ME 04258-5420
- Phone
- (207) 745-7835
Registered specialties
Driver
Primary
Registry record
- NPI
- 1518241413
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Oct 2011
- Record last updated
- 11 Oct 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.