Individual
KELLY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4 SHAPE DRIVE, KENNEBUNK, ME 04043
(207) 467-8988
(207) 467-8969
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 282-9080
(207) 467-8969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
060467-23
NH
363L00000X
Nurse Practitioner
Primary
CNP91015
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164660619
ANTHEM
ME
05
—
1164660619
—
ME
Enumeration date
01/21/2009
Last updated
02/25/2014
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