Organization
KENNEBUNK FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CECILY CANNON DO (PHYSICIAN)
(207) 229-5789
Entity
Organization
Contact information
Practice address
9 HIGH ST, KENNEBUNK, ME 04043-7164
(207) 502-7220
(207) 502-7220
Mailing address
103 SUMMER ST, KENNEBUNK, ME 04043-6613
(207) 229-5789
(207) 502-7221
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2043
ME
Other
Enumeration date
12/19/2013
Last updated
01/28/2014
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