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Search › Maine › 101YA0400X

Keith Mcdonald

NPI 1972076065 · on the registry since 2019

Practice

Address
88 Oxford St
Lewiston, ME 04240
Phone
(207) 795-0149
Organisation at this address
Grace Street Services, Llc
Provider Laboratory Services Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-01-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine