Individual
MRS. SANDRA LOUISE KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
304 HANCOCK ST, SUITE 3B, BANGOR, ME 04401-6573
(207) 561-3600
(207) 947-1862
Mailing address
304 HANCOCK ST, SUITE 3B, BANGOR, ME 04401-6573
(207) 561-3600
(207) 947-1862
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 041515
ME
Other
Enumeration date
09/20/2006
Last updated
07/09/2007
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