Individual
KATHRYN GWYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-2526
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-2526
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
6972255-3102
UT
163WC0200X
Critical Care Medicine Registered Nurse
RN741544
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA233079
ME
Other
Enumeration date
11/08/2023
Last updated
03/25/2024
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