Individual
MRS. KRISTIN HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
404 STATE ST, SUITE 400, BANGOR, ME 04401-6623
(207) 942-7630
(207) 942-5686
Mailing address
404 STATE ST, SUITE 400, BANGOR, ME 04401-6623
(207) 942-7630
(207) 942-5686
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3023
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098634
ANTHEM INDIVIDUAL PROVIDER ID
ME
05
—
432025799
—
ME
01
—
7092737
AETNA INDIVIDUAL PROVIDER ID
ME
Enumeration date
07/06/2006
Last updated
01/27/2011
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