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Individual

KIRA A WENDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
YORK HOSPITAL, 15 HOSPITAL DR., YORK, ME 03909-1099
(207) 351-2398
(207) 351-2411
Mailing address
YORK HOSPITAL, 15 HOSPITAL DR., YORK, ME 03909-1099
(207) 351-2398
(207) 351-2411

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
017777
ME
2085R0202X
Diagnostic Radiology Physician
Primary
A99656
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A996560
CA
Enumeration date
04/06/2007
Last updated
07/30/2008
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