Brigham R Mckenney PA

NPI 1255605218 - Physician Assistant - 363AS0400X

NPI Details
NPI 1255605218
Gender Male
Enumeration Date 03/08/2012
Last Updated 09/13/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
5 BUCKNAM RD
SUITE 1D
FALMOUTH ME, 04105-1392, US
Phone (207) 781-1551
Fax (207) 781-1552
Business Location
301C US ROUTE 1
SCARBOROUGH ME, 04074-9701, US
Phone (207) 396-8600
Fax (207) 396-8632
Toxanomy
Taxonomy Code 363AS0400X
License State Maine
License Number PA1320
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According to our database, Brigham R Mckenney PA NPI is 1255605218, taxonomy code is 363AS0400X and license number is PA1320, license state is located at Maine. Brigham R Mckenney PA physically located at 5 Bucknam Rd, Falmouth ME, 04105-1392. NPI Number Brigham R Mckenney PA has the Individual type.

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1255605218 NPI number is provided on an as is basis without warranty of any kind. 1255605218 is maintained by the National Plan & Provider Enumeration System. The contents of Brigham R Mckenney PA are for informational purposes only.