Organization
KATHLEEN DISHNER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN A DISHNER APRN (PRESIDENT)
(207) 504-7631
Entity
Organization
Contact information
Practice address
62 BAYVIEW ST UNIT 23, CAMDEN, ME 04843-2252
(207) 706-4163
(207) 706-4172
Mailing address
62 BAYVIEW ST UNIT 23, CAMDEN, ME 04843-2252
(207) 706-4163
(207) 706-4173
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R019254
LICENSE
ME
Enumeration date
05/14/2019
Last updated
05/14/2019
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