Organization
KRISTEN L MCNULTY MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH L SITTERLY (OFFICE MANAGER)
(207) 667-9201
Entity
Organization
Contact information
Practice address
8 UNION ST, ELLSWORTH, ME 04605
(207) 667-9201
(207) 667-1340
Mailing address
8 UNION ST, ELLSWORTH, ME 04605
(207) 667-9201
(207) 667-1340
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
014389
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154330000
—
ME
Enumeration date
01/07/2008
Last updated
09/22/2010
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