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Individual

KELLY A MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
360 BROADWAY, BANGOR, ME 04401-3979
(207) 262-1464
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2024037834
MO
207L00000X
Anesthesiology Physician
Primary
MD20114
ME

Other

Enumeration date
11/07/2006
Last updated
09/25/2024
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