Individual
NANCY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
228 WINDHAM CENTER RD, WINDHAM, ME 04062-4862
(207) 892-1800
Mailing address
6 HALF MOON CV, WINDHAM, ME 04062-5489
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
401996
ME
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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