Individual
KATHLEEN C MONTEGUT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN, CS
Contact information
Practice address
45 FOREST FALLS DR, STE B2, YARMOUTH, ME 04096-6999
(207) 781-1588
(207) 781-1543
Mailing address
45 FOREST FALLS DR, STE B2, YARMOUTH, ME 04096-6999
(207) 729-0468
(207) 729-6274
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R024482
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211830000
—
ME
Enumeration date
05/21/2006
Last updated
01/25/2018
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