Individual
KAREN D GODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
915 UNION ST STE 4, BANGOR, ME 04401-8603
(207) 973-8030
Mailing address
915 UNION ST STE 4, BANGOR, ME 04401-8603
(207) 973-8030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-739
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00396223
RAILROAD MEDICARE
ME
Enumeration date
06/11/2006
Last updated
09/24/2022
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