| Kenneth Ault Md | |
|
81 Research Dr Scarborough ME 04074 | |
| (207) 885-8130 | |
| (207) 885-8110 |
| Full Name | Kenneth Ault Md |
|---|---|
| Speciality | Internal Medicine - Hematology |
| Location | 81 Research Dr, Scarborough, Maine |
| Authorized Official Name and Position | Lugene Anthony Inzana (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2076623538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Ault Md 39 Wallace Ave South Portland ME 04106-6143 Ph: (207) 761-0650 | Kenneth Ault Md 81 Research Dr Scarborough ME 04074 Ph: (207) 885-8130 |
| NPI Number | 1659475036 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 05/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659475036 | NPI | - | NPPES |
| 119910015 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RH0000X | Internal Medicine - Hematology | (* (Not Available)) | Primary |
Metabolic Leader Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 51 Us Route 1 Ste H, Scarborough, ME 04074 Phone: 207-396-6433 Fax: 207-396-6436 | |
Maine Medical Partners Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Professional Dr, Scarborough, ME 04074 Phone: 207-883-3491 | |
Maine Medical Partners Scarborough Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Professional Dr, Scarborough, ME 04074 Phone: 207-883-3491 Fax: 207-883-5587 | |
Whole Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2o Mussey Road, Suite 2, Scarborough, ME 04074 Phone: 207-885-1333 | |
Scarborough Integrative Health, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Us Route 1 Ste A, Scarborough, ME 04074 Phone: 207-396-1440 Fax: 207-289-3104 | |
Scarborough Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 69 Us Route 1, 6 Science Park Road, Scarborough, ME 04074 Phone: 207-883-8100 Fax: 207-883-8756 |