Individual
KELLY E O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.,B.C.
Contact information
Practice address
42 CEDAR ST, BANGOR, ME 04401-6433
(207) 314-5801
Mailing address
PO BOX 614, MILLINOCKET, ME 04462-0614
(207) 314-5801
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R038624
ME
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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