IndividualActive
Kelsey Boulier, MS, LAT, ATC
NPI 1417426867 · Sports Medicine (Emergency Medicine) Physician · Baltimore, MD
Provider details
- NPI number
- 1417426867
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- A0000588 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2900 S Hanover St
Baltimore, MD 21225-1232
Phone: (410) 802-1197
Approximate (ZIP-level) locationGet directions
Mailing address
7628 Laurel Dr
Pasadena, MD 21122-1912
Registry dates
- Enumerated
- 2018-11-15
- Last updated
- 2018-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.