Penobscot Community Health Care

NPI #1588693790 in Bangor, Maine

Provider Information

NPI Number
1588693790
Entity Type
Organization
Organization Name
Penobscot Community Health Care
Primary Specialty
Nurse Practitioner
Enumeration Date
Jul 1, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1012 UNION ST
City
Bangor
State
Maine
ZIP Code
04401-3060
Phone
(207) 945-5247

Authorized Official

Name
MR. KEVIN J KELLEY
Title
CHIEF OPERATING OFFICER
Phone
(207) 945-5247

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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