Individual
KENNETH SIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
234 STATE ST, BREWER, ME 04412-1519
(207) 989-0550
(207) 989-0551
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
(207) 973-5035
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1282
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001146
ANTHEM BC BS
ME
01
—
1044459
AETNA
ME
01
—
10474554
MEDNET
ME
05
—
283360099
—
ME
01
—
E69439
HARVARD PILGRIM
ME
01
—
M61761
CIGNA
ME
Enumeration date
08/05/2006
Last updated
06/20/2016
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