Individual
LUCIE F KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
281 MAIN STREAM ROAD, GREAT POND, ME 04408
(207) 352-0133
Mailing address
PO BOX 45, OLD TOWN, ME 04468-0045
(207) 577-3584
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
030375
ME
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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