Individual
KATHRYN BROKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
35 WALKER ST, KITTERY, ME 03904
(207) 439-4430
(207) 439-0968
Mailing address
35 WALKER ST, KITTERY, ME 03904-1727
(207) 439-4430
(207) 351-2216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2726
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669885596
—
ME
Enumeration date
06/09/2014
Last updated
06/27/2019
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