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Individual

KEVIN TAYLOR QUIGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
60 HIGH ST, LEWISTON, ME 04240-7616
(207) 795-8260
(207) 795-8280
Mailing address
60 HIGH ST, LEWISTON, ME 04240-7616
(207) 795-8260
(207) 795-8280

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA001303
ME

Other

Enumeration date
10/27/2011
Last updated
10/28/2011
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