Provider Demographics
NPI:1619498045
Name:MCNAMARA, KELCY FRYE (TCTSY-F)
Entity Type:Individual
Prefix:MRS
First Name:KELCY
Middle Name:FRYE
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:TCTSY-F
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 401
Mailing Address - Street 2:
Mailing Address - City:ALFRED
Mailing Address - State:ME
Mailing Address - Zip Code:04002-0401
Mailing Address - Country:US
Mailing Address - Phone:207-651-9952
Mailing Address - Fax:
Practice Address - Street 1:6 WELLSPING ROAD UNIT 206
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005
Practice Address - Country:US
Practice Address - Phone:207-651-9952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-06
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist