Provider Demographics
NPI:1477991206
Name:KEVIN ZORSKI D.O. LLC
Entity Type:Organization
Organization Name:KEVIN ZORSKI D.O. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:ZORSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:207-865-9335
Mailing Address - Street 1:42 MALLETT DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:FREEPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04032-1355
Mailing Address - Country:US
Mailing Address - Phone:207-865-9335
Mailing Address - Fax:207-865-9586
Practice Address - Street 1:42 MALLETT DR
Practice Address - Street 2:SUITE 3
Practice Address - City:FREEPORT
Practice Address - State:ME
Practice Address - Zip Code:04032-1355
Practice Address - Country:US
Practice Address - Phone:207-865-9335
Practice Address - Fax:207-865-9586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-14
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1407204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty