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Individual

MICHAELA BEATRIE KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
885 UNION ST STE 145, BANGOR, ME 04401-3073
(207) 973-9595
Mailing address
193 WAVERLY ST, ARLINGTON, MA 02476-7353
(781) 879-0979

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
05/03/2022
Last updated
05/03/2022
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