Individual
DR. KELLY KATHERINE MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.A
Contact information
Practice address
236 GANNETT DR, SOUTH PORTLAND, ME 04106-6913
(207) 661-3600
Mailing address
236 GANNETT DR, SOUTH PORTLAND, ME 04106-6913
(207) 661-3600
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
254526-1
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD20646
ME
Other
Enumeration date
06/01/2008
Last updated
03/31/2016
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