Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN THERIAULT
Active Sole ProprietorKEVIN THERIAULT is a Driver healthcare provider located in MINOT, Maine. NPI 1518241413 is currently active in the NPPES registry. Verify at CMS.
Driver · MINOT, ME
Registration Details
- NPI Number
- 1518241413
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2011 (14.813895166246 yrs)
- Last Updated
- Oct 11, 2011
- License
-
8297140 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
120 W MINOT RDMINOT, ME, 042585420Browse ME providers · Browse ZIP 04258
- Phone
- 2077457835
- Primary Specialty
-
Driver
172A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.