| Doctor Name: | MRS. SALLY KAY CONGLETON |
| NPI Number: | 1225253362 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | AP081449 |
| Business Practice Address: | 39 Main St Norway, ME - 042685501 |
| Business Phone Number: | 2077439645 |
| Business Fax Number: | 2077436192 |
| Mailing Address: | 39 Main St, NORWAY |
| State: | ME |
| Postal Code: | 042685501 |
| Phone Number: | 2077439645 |
| Fax Number: | 2077436192 |
| NPI Enumeration Date: | 04/16/2007 |
| NPI Last Update Date: | 03/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP081449 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |