Most Relevant Information
Provider Data
NPI Number: | 1003254178 |
Provider Name: | KATHARINE M K ANDERSON MD |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: | EC131114 |
Most Important Dates
Enumeration Date: | 06/11/2013 |
Last Updated: | 11/02/2016 |
Provider Practice Location
15 E CHESTNUT ST
AUGUSTA
ME
043305736
Practice Location Phone/Fax
Phone: | 2076261561 |
Fax: | 2076261849 |
Provider Mailing Location
15 E CHESTNUT ST
AUGUSTA
ME
043305736
Provider Mailing Phone/Fax
Phone: | 2076261561 |
Fax: | 2076261849 |