Individual
DR. ROBERT KYSELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(303) 912-3166
Mailing address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-1640
(207) 662-5041
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO2921
ME
Other
Enumeration date
04/29/2015
Last updated
09/09/2019
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