Individual
NICHOLE A KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
27 MILL ST, WALDOBORO, ME 04572-6013
(207) 832-5291
Mailing address
27 MILL ST, WALDOBORO, ME 04572-6013
(207) 832-5291
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R044014
ME
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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