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Kelley Qualters
NPI 1124761671 · on the registry since 2022
Practice
- Address
- 21 Grand St
South Portland, ME 04106 - Phone
- (781) 893-6014
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-13
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