Individual
KAILEY ROBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 COLLEGE AVE, GORHAM, ME 04038-1032
(800) 800-4876
Mailing address
27 FORD LN, COLCHESTER, VT 05446-6840
(802) 777-1099
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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