| NPI | 1740512615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KENNEDY Authorized Official 207-807-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2025-08-07 |