Individual
MR. KENNETH KEVIN MCCARTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
153 GRAND MARSH BAY RD, PROSPECT HARBOR, ME 04669
(207) 907-6119
Mailing address
USS MEMPHIS, SSN 691, FPO, AE 09578-2074
(860) 694-4644
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
07/24/2008
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