Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHRYN BAILEY DEEP, PA-C
Active Sole ProprietorPhysician Assistant · PORTLAND, ME
Registration Details
- NPI Number
- 1144689340
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 16, 2016 (10.195311637452 yrs)
- Last Updated
- Jan 25, 2022
- Licenses
-
PA1667 (NV)MA062249 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22 BRAMHALL STPORTLAND, ME, 041023134Browse ME providers · Browse ZIP 04102
- Phone
- 2076622934
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| ROBERT KLOTZ | PA | 1467447847 |
| MRS. SARAH BLACK WIESENDANGER PATTON | PA-C | 1952391435 |
| MS. LORI A NILAND | PA-C | 1003893108 |
| MS. LEAH DEANDREA WALDMAN | PAC | 1871560821 |
| MS. LORRAINE LALIBERTE | PAC | 1982673638 |
| MR. STEVEN C. BLESSINGTON | PA, MHP | 1841259900 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.