Individual provider · Type 1 NPI
Kelley Qualters
Adult Health Nurse Practitioner · South Portland, ME
NPI number
1124761671
Active
Practice location
21 Grand St
South Portland, ME 04106-2217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 309069 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1124761671
Kelley Qualters's National Provider Identifier is 1124761671, issued on Apr 13, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in South Portland, ME. The record was last updated on Apr 13, 2022.