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Contact Information

KYLE PACKER, MD
272 COTTAGE ST
SANFORD, ME04073-1815
 Phone: 207-206-1203
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KYLE PACKER · (Male)

NPI # 1598197436
Status Active
Credentials MD
Entity Individual
Enumeration date 08/02/2013
Last updated 09/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • ME License # MD24421
Hospital affiliation(s)
  • 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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