Individual
KELLY G PARKER-MELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-7060
Mailing address
112 SANFORD RD, SUITE 2, WELLS, ME 04090-5533
(207) 641-6555
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
018956
ME
Other
Enumeration date
06/11/2008
Last updated
11/10/2011
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