Individual
DR. KATHY ANN BOULET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
675 MAIN ST, SUITE 18, LEWISTON, ME 04240-5802
(207) 782-1171
(207) 782-6176
Mailing address
675 MAIN ST, SUITE 18, LEWISTON, ME 04240-5802
(207) 782-1171
(207) 782-6176
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
005842
MO
111N00000X
Chiropractor
Primary
CR779
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075
HARVARD PILGRIM HEALTHCAR
ME
01
—
018172
ANTHEM BLUE CROSS AND BS
ME
01
—
350052598
RAILROAD MEDICARE
ME
01
—
4404011
UNITED HEALTHCARE
ME
01
—
620063501
CIGNA GROUP NO.
ME
01
—
620070401
CIGNA INDIVIDUAL NO.
ME
01
—
M23107
CIGNA HMO NO.
ME
Enumeration date
12/06/2006
Last updated
09/13/2013
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