Individual
KELLY LEMIEUX DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
250 ARSENAL ST, AUGUSTA, ME 04330-5742
(207) 624-3967
Mailing address
250 ARSENAL ST, AUGUSTA, ME 04330-5742
(207) 624-3967
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
CNP151078
ME
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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