| Jonathan Shill Md | |
|
26 Barnard Ln Kennebunk ME 04043-6714 | |
| (207) 502-7074 | |
| (207) 502-7079 |
| Full Name | Jonathan Shill Md |
|---|---|
| Speciality | Family Medicine |
| Location | 26 Barnard Ln, Kennebunk, Maine |
| Authorized Official Name and Position | Jonathan Shill (OWNER/PROVIDER) |
| Authorized Official Contact | 2075027074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Shill Md 26 Barnard Ln Kennebunk ME 04043-6714 Ph: (207) 502-7074 | Jonathan Shill Md 26 Barnard Ln Kennebunk ME 04043-6714 Ph: (207) 502-7074 |
| NPI Number | 1043615453 |
|---|---|
| Provider Enumeration Date | 10/28/2014 |
| Last Update Date | 10/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043615453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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