KEVIN THERIAULT (NPI# 1518241413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518241413 |
| Entity Type | Individual |
| Full Name | KEVIN THERIAULT |
| Practice Address |
120 W Minot Rd Minot ME 04258-5420 |
| Practice Telephone | 2077457835 |
| Mailing Telephone | 2077457835 |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | 8297140 | ME | Other Service Providers |
| Street Address |
120 W MINOT RD |
| City | MINOT |
| State | ME |
| Zip Code | 04258-5420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669871125 | Sarah Kemp | Physical Therapy Assistant | 117 Harris Rd, Minot, ME 04258-4244 | 2014-08-20 |
| 1396181848 | Paul Joseph Oviatt | Home Health | 12 Sandys Way, Minot, ME 04258-5021 | 2013-05-10 |
| 1679799365 | Nancy Ann Witherell | Custodial Care Facility | 22 Sandys Way, Minot, ME 04258-5021 | 2007-04-18 |
| 1578522645 | Pamela Woodhead | Physical Therapist | 823 W Minot Rd, Minot, ME 04258-5446 | 2006-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568773 | Norma Jean Reitenbaugh | Nurse's Aide | 519 11th St Ne, Minot, ND 58703-2745 | 2020-11-04 |
| 1720689029 | Jule A Herrmann | Technician | 625 16th St Nw, Minot, ND 58703-1945 | 2020-11-03 |
| 1255932794 | Prohealth Home Care, Inc. | Home Health | 702 33rd Ave Sw, Minot, ND 58701-7368 | 2020-11-02 |
| 1669072294 | Wp-arc Minot Holdings, LLC | Assisted Living Facility | 601 24th Ave Sw, Minot, ND 58701-7099 | 2020-11-01 |
| 1013517663 | Annette Elizabeth Graven | Technician | 311 27th St Nw, Minot, ND 58703-2834 | 2020-10-31 |
| 1265032031 | Ericka Booker | Technician | 4616 17th Ave Se, Minot, ND 58701-6106 | 2020-10-29 |
| 1447850516 | Tamara Marie Vook | Technician | 1500 69th St Nw, Minot, ND 58703-8809 | 2020-10-28 |
| 1902406085 | Nodak Angels LLC | Home Health | 7 3rd St Se Ste 101, Minot, ND 58701-3916 | 2020-10-28 |
| 1477153534 | Minot State University | Early Intervention Provider Agency | 500 University Ave. W., Minot, ND 58707 | 2020-10-28 |
| 1164021606 | Korina Ciuffini | Technician | 2827 N Broadway, Minot, ND 58703-0664 | 2020-10-24 |
| Find all providers in MINOT | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
Please comment or provide details below to improve the information on KEVIN THERIAULT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.