Individual
KEITH W FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
329 MAINE STREET, BRUNSWICK, ME 04011-3310
(207) 373-2000
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
017401
ME
2085R0202X
Diagnostic Radiology Physician
226212
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432592899
—
ME
01
—
P00409720
RR MEDICARE
ME
Enumeration date
08/22/2006
Last updated
08/04/2010
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