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Individual

KRISTEN PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
25 JUNE ST, SANFORD, ME 04073-2621
(207) 324-4310
Mailing address
284 BERNIER RD, SANFORD, ME 04073-5937
(207) 608-5217

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2062
ME

Other

Enumeration date
04/08/2021
Last updated
11/05/2021
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