MR. Jeffrey Raymond Kinney

NPI #1902933393 in Bangor, Maine

Provider Information

NPI Number
1902933393
Entity Type
Individual
Name
MR. Jeffrey Raymond Kinney
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Feb 27, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
23 FIELDSTONE DRIVE
City
Bangor
State
Maine
ZIP Code
04401
Phone
(207) 947-3176

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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