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Organization

LOCAL ROOTS HEALTH CARE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYLE ANDERS HOLMQUIST FNP-C (MANAGING MEMBER)
(207) 929-0170
Entity
Organization

Contact information

Practice address
12 DEPOT ST, KENNEBUNK, ME 04043-7038
(207) 569-2021
(207) 203-4641
Mailing address
75 FOREST ST, C/O KYLE HOLMQUIST, SACO, ME 04072
(207) 929-0170

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
02/04/2021
Last updated
09/25/2021
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