Individual
KENNETH STUART OROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
RHEUMATOLOGY ASSOCIATES, PA, 51 SEWALL STREET, PORTLAND, ME 04102-2643
(207) 774-5761
(207) 874-7478
Mailing address
RHEUMATOLOGY ASSOCIATES, PA, 51 SEWALL STREET, PORTLAND, ME 04102-2643
(207) 774-5761
(207) 874-7478
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD21645
ME
207R00000X
Internal Medicine Physician
35999
NC
207RR0500X
Rheumatology Physician
35999
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1060000000
—
ME
05
—
2005058000
—
WV
01
—
4263
PARTNERS
NC
01
—
44250
MEDCOST
NC
01
—
5826162
AETNA
—
05
—
6014631
—
VA
01
—
64269
BCBS
NC
05
—
8964269
—
NC
05
—
Q35999
—
SC
Enumeration date
12/08/2005
Last updated
01/28/2019
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