Cignoli, Kelly Lynn

Cignoli, Kelly Lynn is an individual health care provider with primary practice located at 165 Lancaster Street , Portland ME 04101-2406. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Cignoli, Kelly Lynn can be contacted via phone (207) 874-1030.

Contact Information

Primary practice address
165 Lancaster Street Portland ME 04101-2406
Phone: (207) 874-1030
Fax: (207) 874-1044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP81885 Maine
Nursing Service Providers / Registered Nurse 163W00000X RN46427 Maine

Profile Details

NPI number 1457529083
LBN Legal business name Cignoli, Kelly Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2008
Last updated Oct 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457529083 NPPES
Maine MEDICAID 432891599

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