Individual
KIMBERLY ANNE MAYS DE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 HARTFORD ST, HOULTON FAMILY PRACTICE OB/GYN, HOULTON, ME 04730-1844
(207) 532-4017
(207) 532-4019
Mailing address
22 HARTFORD ST, HOULTON, ME 04730-1844
(207) 532-4017
(207) 532-4019
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD17915
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000730701
MEDICARE PTAN
ME
01
—
P00654564
RAILROAD MEDICARE
ME
Enumeration date
07/24/2007
Last updated
04/27/2017
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