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Organization

SUSAN MCKINLEY, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL ANN GOLDSMITH (OFFICE COORDINATOR)
(207) 594-2002
Entity
Organization

Contact information

Practice address
731 COMMERCIAL ST, STE 2, ROCKPORT, ME 04856-4254
(207) 594-2002
(207) 594-5787
Mailing address
731 COMMERCIAL ST, STE 2, ROCKPORT, ME 04856-4254
(207) 594-2002
(207) 594-5787

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
013052
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122640000
ME
Enumeration date
03/13/2009
Last updated
03/13/2009
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