Individual
KELLEY J. STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 ACADEMY RD, MONMOUTH, ME 04259-7035
(207) 524-3501
(207) 933-9645
Mailing address
180 CHURCH HILL RD, LEEDS, ME 04263-3418
(207) 524-3501
(207) 524-2093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22289
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013005313
—
ME
01
—
110069191
RAILROAD MEDICARE
—
Enumeration date
10/11/2006
Last updated
06/25/2021
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