Individual
KERRI DUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, AEMT
Contact information
Practice address
1285 BEACON ST, BROOKLINE, MA 02446-5237
(617) 751-6205
Mailing address
37 SIMMONS ST, NEWPORT, RI 02840-3923
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
26731
ME
2255A2300X
Athletic Trainer
AT409
ME
363A00000X
Physician Assistant
Primary
PA100303
MA
Other
Enumeration date
04/18/2014
Last updated
05/30/2024
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