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Kylene Mackillop, MD
Student in an Organized Health Care Education/Training Program in Augusta, Maine
NPI 1477904746

Kylene Mackillop is a Student in an Organized Health Care Education/Training Program based in Augusta, ME. Kylene Mackillop practices in Augusta, ME and has the professional credentials of MD. The NPI Number for Kylene Mackillop is 1477904746 and holds a License No. EC161077 (Maine).

The current practice location address for Kylene Mackillop is 15 E Chestnut St, Augusta, ME and can be reached out via phone at 207-626-1561 and via fax at 207-626-1849.

Location: 15 E Chestnut St, Augusta, ME, 04330-5736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477904746
Provider Name
Kylene Mackillop
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
15 E Chestnut St, Augusta, ME, 04330-5736
Phone Number
207-626-1561
Fax Number
207-626-1849
Provider Enumeration Date
06/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15 E Chestnut St
City
Augusta
State
Maine
Zip
04330-5736
Phone Number
207-626-1561
Fax Number
207-626-1849
person
Provider Business Mailing Address Details
Address
15 E Chestnut St
City
Augusta
State
Maine
Zip
04330-5736
Phone Number
207-626-1561
Fax Number
207-626-1849
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
EC161077 (Maine)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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