Individual
JONATHAN P SHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Contact information
Practice address
26 BARNARD LN, KENNEBUNK, ME 04043-6714
(207) 502-7074
(207) 502-7079
Mailing address
26 BARNARD LN, KENNEBUNK, ME 04043-6714
(207) 502-7074
(207) 502-7079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
007907
ME
Other
Enumeration date
07/12/2006
Last updated
03/27/2018
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