NPI Index

MS. KRISTIN BOURQUE, ATC

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1285747642

Practice Address

1400 COLEMAN AVE
MERCER UNIVERSITY ATHLETIC DEPARTMENT
Macon, GA 31207

Phone: (443) 745-3741

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes -

Frequently Asked Questions

NPI 1285747642 is the National Provider Identifier for MS. KRISTIN BOURQUE, ATC, a Specialist/Technologist - Athletic Trainer provider located in Macon, GA. This NPI was enumerated on August 17, 2006.
MS. KRISTIN BOURQUE, ATC practices at 1400 COLEMAN AVE, MERCER UNIVERSITY ATHLETIC DEPARTMENT, Macon, GA 31207.

Quick Facts

NPI
1285747642
Type
Individual
Enumerated
Aug 17, 2006
Last Updated
Jul 8, 2007

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