Individual
DR. KEVIN LEE POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
93 SECOND ST, HALLOWELL, ME 04347-1450
(207) 621-7776
Mailing address
93 SECOND ST, HALLOWELL, ME 04347-1450
(207) 621-1776
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS756
ME
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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