Individual
ROBERT J KREIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LATC
Contact information
Practice address
266 WILLIAMS RD., NEWPORT, ME 04953
(207) 368-4354
(207) 368-7260
Mailing address
46 SQUARE RD, PALMYRA, ME 04965-4008
(207) 487-9241
(207) 368-7260
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ME017107
ME
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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