Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DIANE MARIE KIDRIC, D.O., J.D.
ActiveAnatomic Pathology & Clinical Pathology · SOUTH PORTLAND, ME
Registration Details
- NPI Number
- 1740480938
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2007 (18.743452119365 yrs)
- Last Updated
- Mar 31, 2018
- Licenses
-
2012-00949 (NC)DO2424 (ME)
Practice Information
- Address
-
324 GANNETT DR STE 200SOUTH PORTLAND, ME, 041063266Browse ME providers · Browse ZIP 04106
- Phone
- 2074827800
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
Other Anatomic Pathology & Clinical Pathology Providers in SOUTH PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| KIM B GINEVAN | M.D. | 1538231154 |
| DR. DAVID MICHAEL GRAY | M.D. | 1215091681 |
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.