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Individual

DR. KATHRYN R BEVERIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
766 STILLWATER AVE, BANGOR, ME 04401-3616
(207) 945-5891
Mailing address
766 STILLWATER AVE, BANGOR, ME 04401-3616
(207) 945-5981

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT756
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197700099
ME
Enumeration date
06/05/2006
Last updated
02/17/2026
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