Individual
KELLEY J F HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15 E CHESTNUT ST, AUGUSTA, ME 04330-5736
(207) 626-1561
(207) 626-1849
Mailing address
15 E CHESTNUT ST, AUGUSTA, ME 04330-5736
(207) 626-1561
(207) 626-1849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2110
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578670733
—
ME
05
—
432679899
—
ME
Enumeration date
08/24/2006
Last updated
10/16/2012
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