Individual
KIMBERLY DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
360 BROADWAY, BANGOR, ME 04401-3979
(207) 907-3000
Mailing address
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8560
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
287086
NY
207P00000X
Emergency Medicine Physician
Primary
MD23716
ME
Other
Enumeration date
03/24/2015
Last updated
05/27/2022
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