Female

Kelley Qualters

Adult Health Nurse Practitioner in South Portland, ME(View on Map)

Full Name

Kelley Qualters

NPI Number

1124761671

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/13/2022

Specialties

(Taxonomies)

Code

363LA2200X

Primary Taxonomy

Yes

Licenses

State

New York

License Number

309069

Contact
Information

Purpose

Mailing
Location

Address

21 GRAND ST
21 GRAND ST

City

South Portland
South Portland

State

ME
ME

Postal Code

04106-2217
04106-2217

Country

US
US

Telephone Number

(781) 893-6014
(781) 893-6014

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/13/2022

Provider Address

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