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NPI Verification

National Provider Identifier: 1477598688

Kenneth a Ault, MD

Individual Provider

Credentials

MD

Primary Specialty

Internal Medicine, Hematology

Code: 207RH0000X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Internal Medicine, Hematology

Code: 207RH0000X

Primary

Practice Address

39 WALLACE AVE

SOUTH PORTLAND, ME 041066143

Phone: 207-523-3289

NPI Enumeration Date

June 19, 2006

NPI Number

1477598688

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Kenneth Ault, MD - NPI 1477598688 | Provider Verification | HormoneMap