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NPI Code Detail

MEDICARE: KATELYN STARING

MEDICARE:   KATELYN  STARING
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
1207Q00000XFamily Medicine PhysicianMD25014ME

General Provider Information

NPI Number : 1831681568
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN STARING
Provider Business Mailing Address
First Line : 592 W MAIN ST
Second Line :
City : WALDOBORO
State : ME
Zip : 04572-6030
Country : US
Telephone Number : 207-832-6394
Fax Number : 207-832-4392
Provider Business Practice Location Address
First Line : 592 W MAIN ST
Second Line :
City : WALDOBORO
State : ME
Zip : 04572-6030
Country : US
Telephone Number : 207-832-6394
Fax Number : 207-832-4392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2018
Last Update Date : 07/14/2021

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Directions to “ KATELYN STARING ” Practice Location

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