# KRIS SORNBERGER OSTEOPATHIC HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Form Function Osteopathic Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235692385
- **Authorized official:** KRIS S. SORNBERGER DO (OWNER)
- **Authorized official phone:** (207) 307-0816

## Contact information

- **Practice address:** 1 CUMBERLAND PL STE 112, BANGOR, ME 04401-5083
- **Practice address phone:** (207) 307-0816
- **Mailing address:** 183 SKYLINE RD, BANGOR, ME 04401-2158
- **Mailing address phone:** (207) 907-9898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2019
- **Last updated:** 04/07/2019