| NPI | 1588693790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J KELLEY Chief Operating Officer 207-945-5247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME 038672) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |