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NPI Code Detail

MEDICARE: KELLY ANNE VEINOTTE

MEDICARE:   KELLY ANNE VEINOTTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPA4728ME

General Provider Information

NPI Number : 1063173961
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY ANNE VEINOTTE
Provider Business Mailing Address
First Line : PO BOX 468
Second Line :
City : SKOWHEGAN
State : ME
Zip : 04976-0468
Country : US
Telephone Number : 207-474-7000
Fax Number :
Provider Business Practice Location Address
First Line : 57 FAIRVIEW AVE
Second Line :
City : SKOWHEGAN
State : ME
Zip : 04976-1414
Country : US
Telephone Number : 207-474-7000
Fax Number : 207-858-4772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2022
Last Update Date : 06/08/2026

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Directions to “ KELLY ANNE VEINOTTE ” Practice Location

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