Individual
DR. KEVIN MICHAEL KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
20 SUMMER ST, ROCKLAND, ME 04841-2918
(207) 594-0000
(207) 596-7131
Mailing address
20 SUMMER ST, ROCKLAND, ME 04841-2918
(207) 594-0000
(207) 596-7131
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR 1449
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187560000
—
ME
Enumeration date
05/23/2007
Last updated
07/08/2007
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