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NPI Code Detail

MEDICARE: KATHLEEN RITA COLEMAN NP

MEDICARE:   KATHLEEN RITA COLEMAN  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerCNP811115ME

General Provider Information

NPI Number : 1568425957
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN RITA COLEMAN NP
Provider Business Mailing Address
First Line : 12 HIGH ST STE 200
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7689
Country : US
Telephone Number : 207-795-5770
Fax Number : 207-795-5779
Provider Business Practice Location Address
First Line : 12 HIGH ST STE 200
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7689
Country : US
Telephone Number : 207-795-5770
Fax Number : 207-795-5779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2006
Last Update Date : 11/02/2017

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Directions to “ KATHLEEN RITA COLEMAN NP” Practice Location

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