Individual
KEITH GREGORY CHASSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
194 E MAIN ST, FORT KENT, ME 04743-9977
(207) 834-5912
(207) 834-5914
Mailing address
194 E MAIN ST, FORT KENT, ME 04743-9977
(207) 834-5912
(207) 834-5914
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA305
ME
Other
Enumeration date
12/02/2005
Last updated
07/08/2007
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