Kenneth A Ault
Internist Hematologist
81 Research Dr
Scarborough
, Maine 04074-7204
Kenneth A Ault
Internist Hematologist
81 Research Dr
Scarborough
, Maine 04074-7204
(207) 761-8198
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About
Features
Specialties
- Internist
- Hematologist
Languages spoken
- English
Location
First Address
- Kenneth A Ault
- 39 Wallace Ave
- South Portland, ME
- Zip : 04106-6143
- Fax : (207) 761-8198
- Phone : (207) 523-3289
Second Address
- Kenneth A Ault
- 81 Research Dr
- Scarborough, ME
- Zip : 04074-7204
- Fax : (207) 885-8110
- Phone : (207) 885-8130
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 012169 | ME |
| N | 111NI0900X | Internist | 012169 | ME |
| Y | 207RH0000X | Hematologist | 012169 | ME |
National Provider Identifier
| NPI | 1477598688 |
|---|---|
| Provider Name | Kenneth A Ault |
| First Address | South Portland, ME 04106-6143 |
| Second Address | Scarborough, ME 04074-7204 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2006 |
| Last Update Date | 29/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 30201824 | (05) | NH |
| A52869 | (02) | ME |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.