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Individual

KIMBERLY ANN MCDONOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1081 EAGLE LAKE ROAD, MOUNT DESERT, ME 04660-0060
(207) 288-5037
Mailing address
PO BOX 60, MOUNT DESERT, ME 04660-0060
(207) 288-5037

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OT1362
ME
171W00000X
Contractor
OT1632
ME

Other

Enumeration date
04/08/2008
Last updated
10/29/2010
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