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Organization
LOCAL ROOTS HEALTH CARE, PLLC
Active
Organization
LOCAL ROOTS HEALTH CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE ANDERS HOLMQUIST FNP-C (MANAGING MEMBER)
(207) 929-0170
Entity
Organization
Contact information
Practice address
12 DEPOT ST, KENNEBUNK, ME 04043-7038
(207) 569-2021
(207) 203-4641
Mailing address
75 FOREST ST, C/O KYLE HOLMQUIST, SACO, ME 04072
(207) 929-0170
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
09/25/2021
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