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Individual

MS. KELLY FRANCES GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS PA-C

Contact information

Practice address
99 RIVER RD, LINCOLN, ME 04457-4012
(207) 403-2000
(207) 623-5718
Mailing address
99 RIVER RD, LINCOLN, ME 04457-4012
(207) 403-2000

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP2042
ME
363A00000X
Physician Assistant
Primary
PA1613
ME

Other

Enumeration date
07/24/2006
Last updated
04/16/2026
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