Kelly N Pouliot, OD
Optometrist in Palmer, Massachusetts
1437843398- Practice location
- 1504 N Main St, Palmer, MA 01069-1215
- Phone
- 413-283-3511
- Fax
- —
- Last updated
- June 5, 2023
Kelly Nicole Pouliot is an Optometrist based in Palmer, MA. Kelly Nicole Pouliot practices in Palmer, MA and has the professional credentials of OD. The NPI Number for Kelly Nicole Pouliot is 1437843398 and holds a License No. S19215586 (MA). The current practice location address for Kelly Nicole Pouliot is 1504 N Main St, Palmer, MA 01069-1215 and can be reached out via phone at 413-283-3511.
Provider Profile Details
- NPI Number
- 1437843398
- Provider Name
- Kelly Nicole Pouliot
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1504 N Main St, Palmer, MA 01069-1215
- Phone Number
- 413-283-3511
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 5, 2023
- Last Update Date
- June 5, 2023
- Certification Date
- June 5, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1504 N Main St
Palmer, MA 01069-1215 - City
- Palmer
- State
- Massachusetts
- Zip
- 01069-1215
- Phone Number
- 413-283-3511
Provider Business Mailing Address Details
- Address
- 30 Hollywood St
South Hadley, MA 01075-3012 - City
- South Hadley
- State
- MA
- Zip
- 01075-3012
License Information
- License Number
- S19215586
- License State
- MA
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Palmer, MA
View all Optometrists in Palmer →Frequently Asked Questions
What is the NPI number of Kelly N Pouliot, OD?
The NPI number of Kelly N Pouliot, OD is 1437843398. It was assigned on June 5, 2023 and is currently active in the NPPES registry.
What is the specialty of Kelly N Pouliot, OD?
Kelly N Pouliot, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number S19215586.
Where does Kelly N Pouliot, OD practice?
The practice location is 1504 N Main St, Palmer, MA 01069-1215. The office can be reached at 413-283-3511 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437843398 directly on the NPPES registry website.