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Kirk Fongemie
NPI 1164903647 · on the registry since 2018
Practice
- Address
- 1133 Washington Ave
Portland, ME 04103 - Phone
- (207) 797-0600
- Organisation at this address
- St Josephs Rehabilitation & Residence
St Josephs Rehabilitation & ResidenceInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-23
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