Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | MD20657 | ME |
NPI | 1053593962 |
---|---|
Provider Name | Karen E. Saylor |
First Address | Freeport, ME 04032-6477 |
Second Address | Freeport, ME 04032-6477 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2007 |
Last Update Date | 23/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E400219059 | MEDICARE PTAN (01) | ME |