| Charles a Parent DO PA | |
|
24 Portland Rd Kennebunk ME 04043-6747 | |
| (207) 251-1079 | |
| (207) 967-9151 |
| Full Name | Charles a Parent DO PA |
|---|---|
| Speciality | Family Medicine |
| Location | 24 Portland Rd, Kennebunk, Maine |
| Authorized Official Name and Position | Charles a Parent (PROVIDER/OWNER) |
| Authorized Official Contact | 2072511079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles a Parent DO PA 24 Portland Rd Kennebunk ME 04043-6747 Ph: (207) 251-1079 | Charles a Parent DO PA 24 Portland Rd Kennebunk ME 04043-6747 Ph: (207) 251-1079 |
| NPI Number | 1578854667 |
|---|---|
| Provider Enumeration Date | 04/25/2011 |
| Last Update Date | 04/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578854667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1565 (Maine) | Primary |
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