Individual
MRS. SALLY JO HOLT KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
618 MAIN STREET, LEWISTON, ME 04240
(207) 795-6110
(207) 795-6189
Mailing address
PO BOX 8600, PORTLAND, ME 04240
(207) 774-6323
(207) 761-8460
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R023209
ME
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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