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MIRLE A KELLETT M.D.
NPI 1023088218
Internal Medicine - Interventional Cardiology in Scarborough, ME

Active since January 23, 2006
96 CAMPUS DR, SUITE 1, SCARBOROUGH, ME 04074(207) 396-5611 Get Directions Write a Review

NPPES record last updated: November 26, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mirle A Kellett M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRLE A KELLETT M.D. (NPI 1023088218) is an individual interventional cardiology provider in Scarborough, Maine, licensed in Maine (MD12317) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1023088218
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameMIRLE A KELLETTCredential: M.D.
Location Address96 CAMPUS DR, SUITE 1Scarborough, ME 04074-7133
Mailing Address301c Us Route 1Scarborough, ME 04074-9701 · (207) 396-8600 · Fax (207) 396-8632
Phone(207) 396-5611
Sole ProprietorNo
Enumeration DateJanuary 23, 2006
Last NPPES UpdateNovember 26, 2014
✔ NPI 1023088218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in ME · MD12317
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

96 CAMPUS DR, Scarborough, ME 04074
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Other Identifiers 11

Medicaid282560099ME
Medicare PIN060070248ME
Medicare PINP01008211ME
Medicare UPIND08891ME
Medicare PINMM082702ME
Medicare PINMM082703ME
Medicare PINMM082704ME
Medicare PINMM082701ME
Medicare PINSX2319ME
Medicare PINKE MM0827ME
Medicare PINP01038410ME

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RALPH W HUGHES PA-C
Physician Assistant
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 396-5611
PATRICIA A JOHNSON PA-C
Physician Assistant
96 CAMPUS DR
SCARBOROUGH, ME 04074
Cumberland County (207) 396-5611
KEVIN J CURTIS PA
Physician Assistant (Medical)
96 CAMPUS DR, SUITE 2A
SCARBOROUGH, ME 04074
Cumberland County (207) 885-8777
PETER G AMANN MD
Family Medicine
96 CAMPUS DR, SUITE 2C
SCARBOROUGH, ME 04074
Cumberland County (207) 883-7926
VANCE M BROWN MD
Family Medicine
96 CAMPUS DR, SUITE 2C
SCARBOROUGH, ME 04074
Cumberland County (207) 883-7926
CHRISTINE M FREME MD
Internal Medicine
96 CAMPUS DR, SUITE 2B
SCARBOROUGH, ME 04074
Cumberland County (207) 883-3491
WILLIAM A DIETZ M.D.
Internal Medicine (Interventional Cardiology)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 396-5611
EDWARD J TEUFEL M.D.
Internal Medicine (Cardiovascular Disease)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 396-5611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mirle Kellett's NPI number?

The NPI number for Mirle Kellett is 1023088218. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Mirle Kellett located?

Mirle Kellett practices at 96 Campus Dr Suite 1, Scarborough, ME 04074. The listed phone number is (207) 396-5611.

What is Mirle Kellett's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

When was this NPI record last updated?

The NPPES record for Mirle Kellett was last updated on November 26, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.