Individual
KEVIN MORNEAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 PINE STREET, BANGOR, ME 04401-3936
(207) 478-1701
Mailing address
412 ESSEX ST, BANGOR, ME 04401-3936
(207) 478-1701
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT7370
ME
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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