Provider Demographics
NPI:1821036765
Name:WOELFLEIN, KARYN LANDRY (MD)
Entity Type:Individual
Prefix:
First Name:KARYN
Middle Name:LANDRY
Last Name:WOELFLEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:77 BATES ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7637
Mailing Address - Country:US
Mailing Address - Phone:207-795-2929
Mailing Address - Fax:207-753-7690
Practice Address - Street 1:77 BATES ST
Practice Address - Street 2:SUITE 101
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7637
Practice Address - Country:US
Practice Address - Phone:207-795-2929
Practice Address - Fax:207-753-7690
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME15674208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM9165Medicare PIN
H51442Medicare UPIN