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Individual

DR. JESSIE ARAMINTA KERR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
75 JOHN ROBERTS RD, UNIT 8B, SOUTH PORTLAND, ME 04106-0410
(207) 775-4151
Mailing address
75 JOHN ROBERTS RD, UNIT 8B, SOUTH PORTLAND, ME 04106
(207) 775-4151

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD2014-0946
NM
208000000X
Pediatrics Physician
Primary
MD24539
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD24539
STATE LICENSE NUMBER
ME
Enumeration date
05/24/2012
Last updated
08/16/2021
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