Kristin Elizabeth Bourque, ATC

Athletic Trainer · Macon, GA

Individual Active NPI

NPI number 1285747642

Practice location

1400 Coleman Ave
Mercer University Athletic Department
Macon, GA 31207-0001
Phone
(443) 745-3741

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NPI record

NPI
1285747642
Entity type
Individual (Type 1)
Enumeration date
August 17, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —

About Kristin Bourque

Kristin Elizabeth Bourque, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1400 Coleman Ave, Mercer University Athletic Department, Macon, GA 31207-0001. The NPI number 1285747642 was assigned on August 17, 2006 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Kristin Elizabeth Bourque, ATC?

The NPI number is 1285747642.

What is the phone number of Kristin Bourque?

The phone number listed for the practice location is (443) 745-3741.

Where is Kristin Bourque located?

1400 Coleman Ave, Mercer University Athletic Department, Macon, GA 31207-0001.

What is the taxonomy code for Kristin Bourque?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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