Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | MD24477 | ME |
NPI | 1073932158 |
---|---|
Provider Name | Kirsten Orloff |
First Address | Portland, ME 04102-3175 |
Second Address | Portland, ME 04102-3175 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2014 |
Last Update Date | 24/08/2021 |