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Individual

BRANDY M MCKENNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
69 US ROUTE 1, SCARBOROUGH, ME 04074-9374
(207) 883-8100
Mailing address
436 BRIDGE ST, WESTBROOK, ME 04092-3185
(207) 856-6455

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-755
ME

Other

Enumeration date
10/31/2006
Last updated
07/08/2007
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