Individual
KATHERINE NEAL KIMMELSHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
(207) 956-6676
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
18433
NH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD21804
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649481995
—
ME
Enumeration date
05/25/2007
Last updated
07/21/2022
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