Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAEL VAUN MIKESELL, D.O.
ActiveKAEL VAUN MIKESELL, D.O. is a Clinical Pathology healthcare provider located in BREWER, Maine. NPI 1710112453 is currently active in the NPPES registry. Verify at CMS.
Clinical Pathology · BREWER, ME
Registration Details
- NPI Number
- 1710112453
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2009 (17.240818621248 yrs)
- Last Updated
- Dec 13, 2016
- Licenses
-
OT013153 (PA)DO2584 (ME)
Practice Information
- Address
-
33 WHITING HILL RDSUITE 34BREWER, ME, 044121021Browse ME providers · Browse ZIP 04412
- Phone
- 2079739887
- Fax
- 2079739777
- Primary Specialty
-
Clinical Pathology
207ZC0006X
- Additional Specialty
- Clinical Pathology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.