Individual
KRISTINE POPELKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ATC
Contact information
Practice address
4000 MAYFLOWER HL, WATERVILLE, ME 04901-8840
(207) 859-4490
Mailing address
12 SHELDON PL APT 3, WATERVILLE, ME 04901-6079
(207) 616-9898
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
AT717
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT717
AT STATE LICENSE
ME
Enumeration date
12/30/2021
Last updated
12/30/2021
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