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Individual

DR. KATELYN R GOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5 BUCKNAM RD STE 2B, PORTLAND, ME 04105-1209
(207) 781-1600
(207) 781-1507
Mailing address
5 BUCKNAM RD STE 2B, PORTLAND, ME 04105-1209
(207) 781-1600
(207) 781-1507

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD27270
IL
207R00000X
Internal Medicine Physician
Primary
MD27270
ME
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
036.146126
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
147791
AK
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD27270
ME
208000000X
Pediatrics Physician
125064614
IL
208000000X
Pediatrics Physician
MD27270
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1697207
AK
Enumeration date
06/15/2014
Last updated
04/08/2024
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