Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelsey Ayne Boulier, MS, LAT, ATC

Individual provider Sports Medicine (Emergency Medicine) Physician · NPI 1417426867

Kelsey Ayne Boulier, MS, LAT, ATC is a Sports Medicine (Emergency Medicine) Physician in Baltimore, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2018
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2900 S Hanover St
Baltimore, MD 21225-1232
Phone: (410) 802-1197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PS0010X · Licence A0000588 (MD)

Record details

NPI number1417426867
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LAT , ATC
Sole proprietorYes
NPI enumeratedNovember 15, 2018
Last updated in NPPESNovember 15, 2018

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