Provider First Line Business Practice Location Address:
9 GLENRIDGE DR
Provider Second Line Business Practice Location Address:
KENNEBEC INTERNAL MEDICINE ASSOC. PA
Provider Business Practice Location Address City Name:
AUGUSTA
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04330
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-623-8434
Provider Business Practice Location Address Fax Number:
207-621-4370
Provider Enumeration Date:
11/19/2013