Individual
KAITLYN FOURRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
35 MILES ST, DAMARISCOTTA, ME 04543-4047
(207) 563-4134
Mailing address
35 MILES ST, DAMARISCOTTA, ME 04543-4047
(207) 563-4134
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
ME
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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