Individual
MRS. KATHARINE KENNESAW RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
96 CAMPUS DR, SUITE 1, SCARBOROUGH, ME 04074-7163
(207) 885-9905
(207) 396-5600
Mailing address
300 SOUTHBOROUGH DR, SUITE 201, SOUTH PORTLAND, ME 04106-6914
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP161107
ME
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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