KATHY BUSH, MD

Dermatology

Active Individual
NPI: 1508831900

Practice Address

100 FODEN ROAD WEST
SUITE 100
South Portland, ME 04106

Phone: (207) 523-3900

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes 017218 (ME)
Dermatology - Pediatric Dermatology 207NP0225X No 2005-00586 (NC)
Dermatology - Procedural Dermatology 207NS0135X No 2005-00586 (NC)

Frequently Asked Questions

NPI 1508831900 is the National Provider Identifier for KATHY BUSH, MD, a Dermatology provider located in South Portland, ME. This NPI was enumerated on February 20, 2006.
KATHY BUSH, MD practices at 100 FODEN ROAD WEST, SUITE 100, South Portland, ME 04106.

Quick Facts

NPI
1508831900
Type
Individual
Enumerated
Feb 20, 2006
Last Updated
Jun 22, 2011

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