Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G35840 | CA |
N | 207XS0106X | Orthopaedic Hand Surgeon | G35840 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | G35840 | CA |
NPI | 1366549008 |
---|---|
Provider Name | Dr. Kathryn Anne Rohr |
First Address | Edgecomb, ME 04556-3418 |
Second Address | Edgecomb, ME 04556-3418 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A46495 | (02) | CA |
G35840 | CA MEDICAL LICENSE NUMBER (01) | CA |
MD21807 | MAINE MEDICAL LICENSE NUMBER (01) | CA |