Active NPIIndividual provider

Michaela J Clark-Kelley, DO

Family Medicine in Augusta, Maine

NPI Number1306837620
Practice location
15 Enterprise Dr, Augusta, ME 04330-7997
Fax
207-621-8801
Last updated
August 12, 2025

Michaela J Clark-Kelley is a Family Medicine based in Augusta, ME. Michaela J Clark-Kelley practices in Augusta, ME and has the professional credentials of DO. The NPI Number for Michaela J Clark-Kelley is 1306837620 and holds a License No. 1802 (ME). The current practice location address for Michaela J Clark-Kelley is 15 Enterprise Dr, Augusta, ME 04330-7997 and can be reached out via phone at 207-621-8800 and via fax at 207-621-8801.

Provider Profile Details

NPI Number
1306837620
Provider Name
Michaela J Clark-Kelley
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
15 Enterprise Dr, Augusta, ME 04330-7997
Phone Number
207-621-8800
Fax Number
207-621-8801
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
November 4, 2005
Last Update Date
August 12, 2025
Certification Date
August 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Enterprise Dr
Augusta, ME 04330-7997
State
Maine
Zip
04330-7997
Phone Number
207-621-8800
Fax Number
207-621-8801
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
15 Enterprise Dr
Augusta, ME 04330-7997
City
Augusta
State
ME
Zip
04330-7997
Phone Number
207-621-8800
Fax Number
207-621-8801

License Information

License Number
1802
License State
ME
Taxonomy
Family Medicine · 207Q00000X · 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 Michaela J Clark-Kelley, DO?

The NPI number of Michaela J Clark-Kelley, DO is 1306837620. It was assigned on November 4, 2005 and is currently active in the NPPES registry.

What is the specialty of Michaela J Clark-Kelley, DO?

Michaela J Clark-Kelley, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in ME under license number 1802.

Where does Michaela J Clark-Kelley, DO practice?

The practice location is 15 Enterprise Dr, Augusta, ME 04330-7997. The office can be reached at 207-621-8800 (phone) or 207-621-8801 (fax).

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 1306837620 directly on the NPPES registry website.

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