Organization
STOREYSMITH PEDIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME S KIESOW (CEO)
(207) 781-0022
Entity
Organization
Contact information
Practice address
170 US ROUTE 1 STE 100, FALMOUTH, ME 04105-2152
(207) 781-0022
(207) 781-0025
Mailing address
170 US ROUTE 1 STE 100, FALMOUTH, ME 04105-2152
(207) 781-0022
(207) 781-0025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SP667
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23494099
—
ME
Enumeration date
04/23/2007
Last updated
07/15/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up