Individual
KATHERYN BADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(207) 283-0171
Mailing address
716 STEVENS AVE, PORTLAND, ME 04103-2656
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2070
ME
Other
Enumeration date
05/01/2019
Last updated
07/10/2020
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