Individual
KENNETH G NADEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1068 UNION ST, BANGOR, ME 04401-3016
(207) 404-8181
(207) 922-4198
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA94
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263400099
—
ME
Enumeration date
09/25/2006
Last updated
05/05/2021
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