Individual
MRS. KIMBERLY ANN BOUTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
331 MAINE ST STE 6, BRUNSWICK, ME 04011-3359
(802) 558-0134
Mailing address
21 DEERFIELD DR, BRUNSWICK, ME 04011-3543
(802) 558-0134
(207) 753-3088
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP161103
ME
Other
Enumeration date
08/16/2016
Last updated
10/02/2023
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