KENNETH EARL INGALLS III

TARDIF COMMUNITY THERAPY AND WELLNESS PA

Dr KENNETH EARL INGALLS III is a male medical professional, specializing in Physical Therapy. He graduated in 2016.

Contact

TARDIF COMMUNITY THERAPY AND WELLNESS PA

11 MAIN RD N
HAMPDEN
ME
044440227

Tel: 2078623906

KENNETH EARL INGALLS III Information

Npi 1669922258
Pac Id 0547548299
Professional Enrollment Id I20161031001805
Last Name INGALLS
First Name KENNETH
Middle Name EARL
Suffix III
Gender M
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TARDIF COMMUNITY THERAPY AND WELLNESS PA
Group Practice Pac Id 5890697049
Number Of Group Practice Members 11
Line 1 Street Address 11 MAIN RD N
Line 2 Street Address
Marker Of Address Line 2 Suppression
City HAMPDEN
State ME
Zip Code 044440227
Phone Number 2078623906
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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