Active NPIIndividual provider

Kelly L Dudley, NP-C

Nurse Practitioner, Primary Care in Augusta, Maine

NPI Number1053781492
Practice location
250 Arsenal St, Augusta, ME 04330-5742
Fax
—
Last updated
September 28, 2015

Kelly Lemieux Dudley is a Nurse Practitioner, Primary Care based in Augusta, ME. Kelly Lemieux Dudley practices in Augusta, ME and has the professional credentials of NP-C. The NPI Number for Kelly Lemieux Dudley is 1053781492 and holds a License No. CNP151078 (ME). The current practice location address for Kelly Lemieux Dudley is 250 Arsenal St, Augusta, ME 04330-5742 and can be reached out via phone at 207-624-3967.

Provider Profile Details

NPI Number
1053781492
Provider Name
Kelly Lemieux Dudley
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
250 Arsenal St, Augusta, ME 04330-5742
Phone Number
207-624-3967
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
No
Other Names
-- Kelly-Lynn Lemieux (Former Name)
Provider Enumeration Date
September 28, 2015
Last Update Date
September 28, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
250 Arsenal St
Augusta, ME 04330-5742
State
Maine
Zip
04330-5742
Phone Number
207-624-3967
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
250 Arsenal St
Augusta, ME 04330-5742
City
Augusta
State
ME
Zip
04330-5742
Phone Number
207-624-3967

License Information

License Number
CNP151078
License State
ME
Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly L Dudley, NP-C?

The NPI number of Kelly L Dudley, NP-C is 1053781492. It was assigned on September 28, 2015 and is currently active in the NPPES registry.

What is the specialty of Kelly L Dudley, NP-C?

Kelly L Dudley, NP-C is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in ME under license number CNP151078.

Where does Kelly L Dudley, NP-C practice?

The practice location is 250 Arsenal St, Augusta, ME 04330-5742. The office can be reached at 207-624-3967 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053781492 directly on the NPPES registry website.

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