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Kassandra Churchill
NPI 1548622491 · on the registry since 2016
Practice
- Address
- 1073 W Main St
Dover Foxcroft, ME 04426 - Phone
- (207) 564-2857
- Fax
- (207) 564-3278
- Organisation at this address
- Shaws Supermarkets Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-03-22
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