Kelly Bourgon

  • NPI 1194213751
According to our database, the NPI number for Kelly Bourgon is 1194213751 and activated since 5 years ago. Kelly Bourgon is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 1815 State St, Watertown, NY 13601. You can also contact Kelly Bourgon via telephone number is (315) 788-6070. Provider NPI information was last updated on 07/26/2018.

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Overview of Kelly Bourgon

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 04/28/2018
  • Last updated: 07/26/2018

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 9 Harbor Dr
    Brewer, ME 04412
  • Phone: 207-356-5387
  • Fax:

Provider Practice Location

  • Address: 1815 State St
    Watertown, NY 13601
  • Phone: 315-788-6070
  • Fax:

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: TUV008844
  • License State: NY
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kelly Bourgon?
  • A: The npi number for Kelly Bourgon is 1194213751.
  • Q: What are Kelly Bourgon's specialties?
  • A: Kelly Bourgon's specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for Kelly Bourgon?
  • A: The medical license number for Kelly Bourgon is unknow and issued in unknow in USA.
  • Q: Where is Kelly Bourgon practice location?
  • A: Kelly Bourgon is practicing at 1815 State St, Watertown, NY 13601.
  • Q: How to contact Kelly Bourgon?
  • A: You can contact Kelly Bourgon via 315-788-6070.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
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Optometrist
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Ph.D. Medical Genetics
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Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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