Provider Demographics
NPI:1790983054
Name:REDDING, KATHERINE EMILY MARIE (DO)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:EMILY MARIE
Last Name:REDDING
Suffix:
Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:43 WHITING HILL RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-1005
Mailing Address - Country:US
Mailing Address - Phone:207-973-5035
Mailing Address - Fax:207-973-5042
Practice Address - Street 1:895 UNION ST
Practice Address - Street 2:SUITE 12
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-3053
Practice Address - Country:US
Practice Address - Phone:207-973-7979
Practice Address - Fax:207-947-9579
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2010-01-22
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Provider Licenses
StateLicense IDTaxonomies
ME2127207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine