Individual
PAUL KEHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 GANNETT DR, SOUTH PORTLAND, ME 04106-6942
(207) 773-0040
Mailing address
119 GANNETT DR, SOUTH PORTLAND, ME 04106-6942
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD28507
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
08/13/2024
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