Individual
TAYLOR KENNETH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
895 UNION ST, SUITE 12, BANGOR, ME 04401-3053
(207) 973-7979
(207) 947-9579
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
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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