Individual
KATHARINE A CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
244 WESTERN AVE, SOUTH PORTLAND, ME 04106-2430
(207) 775-3446
Mailing address
244 WESTERN AVE, SOUTH PORTLAND, ME 04106-2430
(207) 775-3446
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD20877
ME
208600000X
Surgery Physician
Primary
47216
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2008
Last updated
06/13/2016
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