Family Practice On The River | |
62 Portland Rd Ste 47 Kennebunk ME 04043-6650 | |
(207) 502-7386 | |
(207) 502-7661 |
Full Name | Family Practice On The River |
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Speciality | Family Medicine |
Location | 62 Portland Rd Ste 47, Kennebunk, Maine |
Authorized Official Name and Position | Patrick Butcher (BUSINESS MANAGER) |
Authorized Official Contact | 2075027386 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Practice On The River Po Box 1100 Kennebunkport ME 04046-1100 Ph: (207) 502-7386 | Family Practice On The River 62 Portland Rd Ste 47 Kennebunk ME 04043-6650 Ph: (207) 502-7386 |
NPI Number | 1427403245 |
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Provider Enumeration Date | 04/29/2016 |
Last Update Date | 08/09/2023 |
Medicare PECOS PAC ID | 8921392879 |
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Medicare Enrollment ID | O20160816000481 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427403245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD14675 (Maine) | Primary |
Provider Name | Kathleen A Mckeon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649427329 PECOS PAC ID: 7214098789 Enrollment ID: I20081203000443 |
Provider Name | Caroline Joy Wilmot |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578085544 PECOS PAC ID: 6901237007 Enrollment ID: I20200505001094 |
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