Individual
MS. PATRICIA ANN KENALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
735 WILSON ST, BREWER, ME 04412-1000
(207) 989-1567
(207) 989-2287
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
114954
MA
363LF0000X
Family Nurse Practitioner
Primary
CNP111119
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114954
LICENSE
MA
Enumeration date
04/30/2007
Last updated
01/04/2012
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