Jessica Kelly

NPI #1013895945 in Portland, Maine

Provider Information

NPI Number: 1013895945
Entity Type: Individual
Name: Jessica Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 27, 2025
Last Updated: Aug 27, 2025

Practice Location

Address: 716 STEVENS AVE
City: Portland
State: Maine
ZIP Code: 04103-2656
Phone: (207) 283-0171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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