Individual
DR. KAITLIN MINNEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 PROFESSIONAL DR, SCARBOROUGH, ME 04074-8897
(207) 883-7926
Mailing address
300 PROFESSIONAL DR STE 2C, SCARBOROUGH, ME 04074-8897
(207) 883-7926
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD25179
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2017
Last updated
12/01/2021
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