Individual
MR. KEVIN JOHN SHEASGREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
891 W MAIN ST, DOVER FOXCROFT, ME 04426-1059
(207) 564-4464
(207) 564-4461
Mailing address
246 PARKVIEW AVE, BANGOR, ME 04401-4063
(781) 252-9118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP201499
ME
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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