Individual
KELLY J TOURVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, ATC
Contact information
Practice address
UNIVERSITY OF VERMONT, 213 B PATRICK GYMNASIUM, BURLINGTON, VT 05405-0001
(802) 656-7741
Mailing address
219 JUNIPER DR, SOUTH BURLINGTON, VT 05403-5793
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104-0000013
VT
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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