Provider Demographics
NPI:1720490022
Name:SAWAI, KATHRYN MARI (ND)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:MARI
Last Name:SAWAI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 SILVER ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-5833
Mailing Address - Country:US
Mailing Address - Phone:207-395-6101
Mailing Address - Fax:207-692-1090
Practice Address - Street 1:143 SILVER ST STE 1
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-5833
Practice Address - Country:US
Practice Address - Phone:207-395-6101
Practice Address - Fax:207-692-1090
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MENP539175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath