Most Relevant Information
Provider Data
| NPI Number: | 1003305079 |
| Provider Name: | KELSEY RAINIE ATC, LAT |
| Entity Type: | Individual |
| Taxonomy Code: | 207PS0010X |
| Specialty: | Emergency Medicine |
| License Number: | 1256 |
Most Important Dates
| Enumeration Date: | 05/05/2018 |
| Last Updated: | 05/05/2018 |
Provider Practice Location
10 AVON ST
CONCORD
NH
033012301
Practice Location Phone/Fax
| Phone: | 6038481859 |
| Fax: |
Provider Mailing Location
10 AVON ST
CONCORD
NH
033012301
Provider Mailing Phone/Fax
| Phone: | 6038481859 |
| Fax: |