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Individual

KATHRYN BRANDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
655 MAIN ST, SACO, ME 04072-1699
(207) 602-3571
(207) 602-3573
Mailing address
PO BOX 284, BRATTLEBORO, VT 05302-0284
(207) 602-3571
(207) 602-3573

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
1633
ME
207Q00000X
Family Medicine Physician
1633
ME
207Q00000X
Family Medicine Physician
Primary
DO1633
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1619943917
ME
05
276370099
ME
Enumeration date
02/27/2006
Last updated
11/08/2022
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