Individual
KATHLEEN M. KOTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
394 BAR HARBOR RD, TRENTON, ME 04605-5807
(207) 667-5899
(207) 801-5123
Mailing address
10 WAYMAN LN, BAR HARBOR, ME 04609-1625
(207) 288-5081
(207) 288-8600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD9800
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309220099
—
ME
01
—
MD9800
MAINE LICENSE
ME
Enumeration date
01/23/2006
Last updated
06/23/2017
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