Individual
KAEL VAUN MIKESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
33 WHITING HILL RD, SUITE 34, BREWER, ME 04412-1021
(207) 973-9887
(207) 973-9777
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
DO2584
ME
207ZC0006X
Clinical Pathology Physician
OT013153
PA
Other
Enumeration date
05/26/2009
Last updated
12/13/2016
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