Kidric, Diane Marie

Kidric, Diane Marie is an individual health care provider with primary practice located at 324 Gannett Dr Ste 200 , South Portland ME 04106-3266. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Kidric, Diane Marie can be contacted via phone (207) 482-7800.

Contact Information

Primary practice address
324 Gannett Dr Ste 200 South Portland ME 04106-3266
Phone: (207) 482-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 2012-00949 North Carolina
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X DO2424 Maine

Profile Details

NPI number 1740480938
LBN Legal business name Kidric, Diane Marie
Credentials D.O., J.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Mar 31st, 2018 - about 7 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.

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