Individual
KATHRYN MAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(470) 644-1274
(470) 644-1119
Mailing address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(470) 644-1274
(470) 644-1119
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN316420
GA
367500000X
Certified Registered Nurse Anesthetist
RN558712
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103092798
—
PA
Enumeration date
09/21/2011
Last updated
07/12/2023
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