Individual
KATHRYN HESS LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106-2327
(207) 828-1122
Mailing address
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106-2327
(207) 828-1122
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD27841
ME
207RP1001X
Pulmonary Disease Physician
Primary
MD27841
ME
Other
Enumeration date
05/01/2017
Last updated
06/27/2024
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