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Organization

KENNEBEC VALLEY COMMUNITY ACTION PROGRAM

Active
Other names
kvcap family planning or kvcap health services
Organization subpart
No

Provider details

NPI number
Authorized official
MISS COLLEEN TAYLOR FPNP (FPNP)
(207) 859-1639
Entity
Organization

Contact information

Practice address
101 WATER ST, SUITE 204, WATERVILLE, ME 04901-6339
(207) 859-1638
(207) 859-1696
Mailing address
97 WATER ST, WATERVILLE, ME 04901-6339
(207) 859-1638
(207) 859-1696

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R013536
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013238
ANTHEM PROV. NUMBER
ME
Enumeration date
03/26/2007
Last updated
04/09/2008
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