Individual
MARY KATHLEEN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
84 MARGINAL WAY, SUITE 1000, PORTLAND, ME 04101-1392
(207) 774-4092
(207) 523-8596
Mailing address
100 GANNETT DRIVE, SUITE C, SOUTH PORTLAND, ME 04106
(207) 347-2947
(207) 874-2317
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
016582
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30209656
—
NH
Enumeration date
02/11/2008
Last updated
03/25/2026
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