Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFREY RAYMOND KINNEY
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · BANGOR, ME
Registration Details
- NPI Number
- 1902933393
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2007 (19.147066701677 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
23 FIELDSTONE DRIVEBANGOR, ME, 04401Browse ME providers · Browse ZIP 04401
- Phone
- 2079473176
- Fax
- 2079459924
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Other Intellectual Disabilities Residential Treatment Facility Providers in BANGOR, ME
| Name | Credential | NPI |
|---|---|---|
| MRS. DEBRA RAYE KINNEY | — | 1801923206 |
| MRS. DARLENE MARIE KENNY | — | 1447484027 |
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.