Individual
MRS. BRANDY KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 BROADWAY, BANGOR, ME 04401-5201
(207) 947-0469
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-7000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1822
ME
Other
Enumeration date
07/16/2018
Last updated
01/17/2024
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