Individual
KENNETH LOGAN BOUCHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 HANNAFORD DR, BUXTON, ME 04093-6583
(207) 815-4001
Mailing address
757 NARRAGANSETT TRL, BUXTON, ME 04093-6601
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA5193
ME
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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