Cousins, Kathleen H
Cousins, Kathleen H is an individual health care provider with primary practice located at 336 Mount Hope Ave , Bangor ME 04401-4236. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Cousins, Kathleen H can be contacted via phone (207) 947-0469.Contact Information
Primary practice address
336 Mount Hope Ave
Bangor ME 04401-4236
Phone: (207) 947-0469
Fax: (207) 941-1957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | R025001 | Maine |
Profile Details
| NPI number | 1376534727 |
|---|---|
| LBN Legal business name | Cousins, Kathleen H |
| Credentials | WHCNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Aug 22nd, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376534727 | NPPES |
| Maine | MEDICAID | 411080099 |
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