Individual
KELLY MCCOUBREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
115 CONANT HILL RD, MEDDYBEMPS, ME 04657-4027
(207) 214-9355
Mailing address
115 CONANT HILL RD, MEDDYBEMPS, ME 04657-4027
(207) 214-9355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
084388-23
NH
363LF0000X
Family Nurse Practitioner
Primary
CNP161166
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP161166
ME
Other
Enumeration date
10/13/2016
Last updated
09/20/2022
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