Individual
KASEY MARIE LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
417 STATE ST STE 442, BANGOR, ME 04401-6634
(207) 973-5200
Mailing address
43 WHITING HILL RD, BREWER, ME 04412-1005
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
367A00000X
Advanced Practice Midwife
Primary
CNM182005
ME
Other
Enumeration date
10/26/2018
Last updated
03/05/2019
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