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Kelsey V Theriault, DO
Student in an Organized Health Care Education/Training Program in Cape Coral, Florida
NPI 1174265227

Kelsey V Theriault is a Student in an Organized Health Care Education/Training Program based in Sarasota, FL. Kelsey V Theriault practices in Cape Coral, FL and has the professional credentials of DO. The NPI Number for Kelsey V Theriault is 1174265227 and holds a License No. (Florida).

The current practice location address for Kelsey V Theriault is 636 Del Prado Blvd S, Cape Coral, FL and can be reached out via phone at 239-424-3161.

Location: 636 Del Prado Blvd S, Cape Coral, FL, 34236-5985
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174265227
Provider Name
Kelsey V Theriault
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
636 Del Prado Blvd S, Cape Coral, FL, 34236-5985
Phone Number
239-424-3161
Fax Number
Provider Enumeration Date
04/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
636 Del Prado Blvd S
City
Cape Coral
State
Florida
Zip
33990-2668
Phone Number
239-424-3161
Fax Number
person
Provider Business Mailing Address Details
Address
636 Del Prado Blvd S
City
Cape Coral
State
Florida
Zip
33990-2668
Phone Number
239-424-3161
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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