Organization
CATHERINE KIMBALL, DO AND EUGENE CHARLEBOIS, DO PA
Active
Other names
Three Rivers Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE M KIMBALL DO (OWNER)
(207) 873-3753
Entity
Organization
Contact information
Practice address
180 KENNEDY MEMORIAL DR, SUITE 301, WATERVILLE, ME 04901-4540
(207) 873-3753
(207) 873-2620
Mailing address
180 KENNEDY MEMORIAL DR, SUITE 301, WATERVILLE, ME 04901-4540
(207) 873-3753
(207) 873-2620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127010000
—
ME
Enumeration date
06/15/2006
Last updated
08/02/2012
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