Provider Demographics
NPI:1427658475
Name:NEWTON, KELSIE-LYNNE
Entity type:Individual
Prefix:
First Name:KELSIE-LYNNE
Middle Name:
Last Name:NEWTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 S DONDERO RD
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-1407
Mailing Address - Country:US
Mailing Address - Phone:207-458-2235
Mailing Address - Fax:
Practice Address - Street 1:17 BECKWITH LN
Practice Address - Street 2:
Practice Address - City:WEST GARDINER
Practice Address - State:ME
Practice Address - Zip Code:04345-3527
Practice Address - Country:US
Practice Address - Phone:207-724-2728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider