Organization
WELLO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MICHAEL BARDWELL D.C. (OWNER)
(207) 846-1665
Entity
Organization
Contact information
Practice address
40 FOREST FALLS DR, YARMOUTH, ME 04105
(207) 846-1665
(207) 591-4384
Mailing address
40 FOREST FALLS DR, YARMOUTH, ME 04096
(207) 846-1665
(207) 846-1655
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1221
ME
Other
Enumeration date
12/11/2006
Last updated
07/23/2008
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