Individual
KELSEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
653 BROADWAY, BANGOR, ME 04401-3341
(207) 947-3680
Mailing address
65 CHAMBERLAIN ST APT 2, BREWER, ME 04412-1901
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR73296
ME
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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