Individual
MRS. JILL ALLISON KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IPDH
Contact information
Practice address
1881 RT. 109, ACTON, ME 04001
(207) 604-9027
Mailing address
PO BOX 48, ACTON, ME 04001-0048
(207) 604-9027
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
52
ME
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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