Individual
KATHRYN O WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
29 DIRIGO DRIVE, BREWER, ME 04412-1600
(207) 942-2015
(207) 945-6528
Mailing address
29 DIRIGO DRIVE, BREWER, ME 04412-1600
(207) 942-2015
(207) 945-6528
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
779T
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245760099
—
ME
Enumeration date
06/16/2006
Last updated
03/11/2020
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