Individual
KAITLYN ELISE ORDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
887 CONGRESS ST, PORTLAND, ME 04102-3100
(207) 662-5522
Mailing address
887 CONGRESS ST, PORTLAND, ME 04102-3100
(207) 662-5522
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD27986
ME
2080P0210X
Pediatric Nephrology Physician
Primary
MD27986
ME
Other
Enumeration date
03/30/2017
Last updated
07/10/2024
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