Provider Demographics
NPI:1184986416
Name:KAISER, JASON ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:ALAN
Last Name:KAISER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HOSPITAL DR STE A
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1041
Mailing Address - Country:US
Mailing Address - Phone:207-361-3633
Mailing Address - Fax:
Practice Address - Street 1:16 HOSPITAL DR STE A
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-1041
Practice Address - Country:US
Practice Address - Phone:207-361-3633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA010125411208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery