Kelli Ann McNally
Individual provider Active NPI Dental Hygienist · Lubec, ME
NPI 1285213645 · NPPES record last updated Apr 5, 2021
Key facts
- NPI
- 1285213645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- RDH2161
- Practice address
- 43 S Lubec Rd
Lubec, ME 04652-3620 - Phone
- (207) 733-5541
- NPI assigned
- Apr 5, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | RDH2161 | Yes |
Addresses
Primary practice location
43 S Lubec Rd
Lubec, ME 04652-3620
Mailing address
43 S Lubec Rd
Lubec, ME 04652-3620
Phone (207) 733-5541
Other providers in Lubec, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.