Individual
LAURA KELLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
295 FOREST AVE, 2ND FLOOR, PORTLAND, ME 04101-2018
(207) 772-5437
(207) 879-1537
Mailing address
295 FOREST AVE, 2ND FLOOR, PORTLAND, ME 04101-2018
(207) 772-5437
(207) 879-1537
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1865
ME
Other
Enumeration date
12/29/2005
Last updated
07/08/2007
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