| NPI | 1285690263 |
|---|---|
| Doing Business As | KENNEBEC PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | BARBARA A CROWLEY President, Mgha 207-626-1063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-10-04 |