Individual
KATHLEEN KERSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94 WASHINGTON AVE, PORTLAND, ME 04101-2630
(207) 807-8164
Mailing address
506 W SIDE RD, WELD, ME 04285-3436
(207) 585-2412
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH4240
ME
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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