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Brandon Kelly
Student in an Organized Health Care Education/Training Program in Waterville, Maine
NPI 1568845386

Brandon Kelly is a Student in an Organized Health Care Education/Training Program based in Waterville, ME. Brandon Kelly practices in Waterville, ME. The NPI Number for Brandon Kelly is 1568845386 and holds a License No. EC151059 (Maine).

The current practice location address for Brandon Kelly is 149 North St, Waterville, ME and can be reached out via phone at 207-861-5000 and via fax at 207-861-5001.

Location: 149 North St, Waterville, ME, 04901-4974
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568845386
Provider Name
Brandon Kelly
Credential
Provider Entity Type
Individual
Gender
Male
Address
149 North St, Waterville, ME, 04901-4974
Phone Number
207-861-5000
Fax Number
207-861-5001
Provider Enumeration Date
06/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
149 North St
City
Waterville
State
Maine
Zip
04901-4974
Phone Number
207-861-5000
Fax Number
207-861-5001
person
Provider Business Mailing Address Details
Address
149 North St
City
Waterville
State
Maine
Zip
04901-4974
Phone Number
207-861-5000
Fax Number
207-861-5001
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.
EC151059 (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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