Brandon Kelly

NPI #1568845386 in Waterville, Maine

Provider Information

NPI Number: 1568845386
Entity Type: Individual
Name: Brandon Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 30, 2015
Last Updated: Aug 3, 2015

Practice Location

Address: 149 NORTH ST
City: Waterville
State: Maine
ZIP Code: 04901-4974
Phone: (207) 861-5000

Specialties & Taxonomy Codes

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

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