Individual
GREGORY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 MEDICAL CENTER DRIVE, SUITE 2550, BRUNSWICK, ME 04011
(207) 373-1707
(207) 373-1467
Mailing address
121 MEDICAL CENTER DR, SUITE 2550, BRUNSWICK, ME 04011-2653
(207) 373-1707
(207) 729-6626
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
009815
ME
208600000X
Surgery Physician
Primary
MD9815
ME
Other
Enumeration date
05/16/2007
Last updated
06/30/2023
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