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NPI 1518241413

IndividualActive

Kevin Theriault

NPI 1518241413 · Driver · Minot, ME

Provider details

NPI number: 1518241413
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Male
Sole proprietor: Yes
License: 8297140 (ME)

Practice location

120 W Minot Rd

Minot, ME 04258-5420

Phone: (207) 745-7835

More ME providers

Mailing address

120 W Minot Rd

Minot, ME 04258-5420

Registry dates

Enumerated: 2011-10-11
Last updated: 2011-10-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Kevin Theriault — NPI 1518241413, Minot, ME | NPI Central