Organization
PENOBSCOT COMMUNITY HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J KELLEY (CHIEF OPERATING OFFICER)
(207) 945-5247
Entity
Organization
Contact information
Practice address
177 COLDBROOK ROAD, HAMPDEN, ME 04444-0000
(207) 862-2227
(207) 862-2252
Mailing address
1048 UNION ST, SUITE 5, BANGOR, ME 04401-8600
(207) 945-5247
(207) 992-2154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/01/2006
Last updated
08/22/2020
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