Individual
KENNETH INGALLS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
11 MAIN RD N, HAMPDEN, ME 04444
(207) 862-3906
(207) 862-2892
Mailing address
P.O. BOX 227, HAMPDEN, ME 04444-0227
(207) 862-3906
(207) 862-2892
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4704
ME
Other
Enumeration date
10/07/2016
Last updated
10/25/2018
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