Individual
SAMUEL G KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
15 PLEASANT HILL RD STE 204, SCARBOROUGH, ME 04074-7678
(207) 387-4801
Mailing address
233 JOB RD, STANDISH, ME 04084-6530
(078) 321-2122
(207) 799-9887
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP211320
ME
Other
Enumeration date
05/17/2021
Last updated
10/04/2024
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