Individual
SUSAN A. KEPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
45 FOREST FALLS DR, YARMOUTH, ME 04096-6999
(207) 846-9761
Mailing address
120 PHEASANT HILL DR, PORTLAND, ME 04103-2783
(207) 773-0267
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA216
ME
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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