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Individual

DR. KEVYN L COMSTOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
700 MOUNT HOPE AVE STE 210, BANGOR, ME 04401-5655
(207) 907-3030
(207) 907-3031
Mailing address
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8560
(207) 777-8800

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
DO1817
ME
207Q00000X
Family Medicine Physician
Primary
DO1817
ME

Other

Enumeration date
07/12/2006
Last updated
02/03/2022
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