Individual
KIM ELLEN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
59 BANGOR ST, HOULTON, ME 04730-1740
(207) 532-4782
Mailing address
529 S PATTEN RD, PATTEN, ME 04765-3007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN59400
ME
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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