Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHRYN M BROUILLETTE, MD
ActiveAllergy & Immunology · PORTLAND, ME
Registration Details
- NPI Number
- 1881980332
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2011 (14.830686998195 yrs)
- Last Updated
- Aug 18, 2016
- License
-
MD20758 (ME)
Practice Information
- Address
-
22 BRAMHALL STPORTLAND, ME, 041023134Browse ME providers · Browse ZIP 04102
- Phone
- 2076627060
- Fax
- 2076627066
- Primary Specialty
-
Allergy & Immunology
207RA0000X
- Additional Specialty
- Allergy & Immunology
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.