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Individual

KATHLEEN ANNE O CALLAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
NORTHEAST PAIN MANAGEMENT, 1365 BROADWAY, BANGER, ME 04401
(207) 942-6226
(207) 992-2753
Mailing address
140 CHANDLER ST, PITTSFIELD, ME 04967-3711
(207) 487-9244
(207) 368-4213

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP141113
ME
363LF0000X
Family Nurse Practitioner
NP149141
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP4250
BCBS
MA
Enumeration date
11/09/2006
Last updated
09/27/2022
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