Good, Katelyn R
Good, Katelyn R is an individual health care provider with primary practice located at 5 Bucknam Rd Ste 2B , Portland ME 04105-1209. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Good, Katelyn R can be contacted via phone (207) 781-1600.Contact Information
Primary practice address
5 Bucknam Rd Ste 2B
Portland ME 04105-1209
Phone: (207) 781-1600
Fax: (207) 781-1507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD27270 | Illinois |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | MD27270 | Maine |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 036.146126 | Illinois |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 147791 | Alaska |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD27270 | Maine |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125064614 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD27270 | Maine |
Profile Details
| NPI number | 1912311259 |
|---|---|
| LBN Legal business name | Good, Katelyn R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2014 |
| Last updated | Apr 8th, 2024 - about last year |
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 | 1912311259 | NPPES |
| Alaska | MEDICAID | 1697207 |
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