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KELLIE SPRAGUE MD NPI 1942240585


NPI Information

NPI: 1942240585
Provider Name: KELLIE SPRAGUE, MD
Classification: Internal Medicine - 207RH0000X
Entity Type: Individual

Specialization: Hematology

Organization: MAINE MEDICAL PARTNERS

PECOS Registration: Yes

Address:
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 661-0200
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Kellie Sprague, MD is a hematology internal medicine in South Portland, ME with 33 years of experience. The provider is an internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. Kellie Sprague, MD NPI is 1942240585. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduation Year:1991

The provider's business location address is:

265 WESTERN AVE STE 2
SOUTH PORTLAND, ME
ZIP 04106-458
Phone: (207) 661-0200

The NPI 1942240585 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 1/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0000XInternal MedicineHematologyMD24532MAINEYes
2207RH0003XInternal MedicineHematology & Oncology154577MASSACHUSETTSNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.