Individual
DR. KATHRYN L REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, MS
Contact information
Practice address
295 PARK AVE, PORTLAND, ME 04102-2911
(207) 874-2141
(207) 874-2164
Mailing address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
(207) 761-3738
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT-002524
AZ
152W00000X
Optometrist
Primary
OPT.0003866
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT-002524
AZ STATE LICENSE ISSUED BY BOARD OF OPTOMETRY
AZ
01
—
OPT.0003866
CO STATE LICENSE ISSUED BY DORA
CO
Enumeration date
08/12/2021
Last updated
04/28/2025
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