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Contact Information

KELLIE SPRAGUE, MD
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME04106-2458
 Phone: 207-661-0200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology

207RH0000X 11 Physician/Internal Medicine
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KELLIE SPRAGUE · (Female)

NPI Number 1942240585
Status Active
Credentials MD
Entity Individual
Enumeration date 06/08/2006
Last updated 01/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 154577
  • ME License # MD24532
Hospital affiliation(s)
  • MAINE MEDICAL CENTER - (Acute Care)
    22 BRAMHALL ST
    PORTLAND, ME 04102
  • SOUTHERN MAINE MEDICAL CENTER - (Acute Care)
    1 MEDICAL CENTER DRIVE
    BIDDEFORD, ME 04005
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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