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Individual

MRS. KATHRYN G. BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
5 CALDWELL RD, AUGUSTA, ME 04330-5739
(207) 623-1322
Mailing address
5 CALDWELL RD, AUGUSTA, ME 04330-5739
(207) 623-1322

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R024245
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000975
ANTHEM
ME
01
0449265
CIGNA
ME
01
1041748
AETNA
ME
05
287710099
ME
01
D03548
HARVARD PILGRAM
ME
Enumeration date
01/09/2006
Last updated
11/28/2012
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