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Contact Information

DIANE M KIDRIC, D.O., J.D.
324 GANNETT DR STE 200
SOUTH PORTLAND, ME04106-3266
 Phone: 207-482-7800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for DIANE M KIDRIC · (Female)

NPI Number 1740480938
Status Active
Credentials D.O., J.D.
Entity Individual
Enumeration date 07/25/2007
Last updated 03/31/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ME License # DO2424
  • NC License # 2012-00949
Hospital affiliation(s)
  • CENTRAL MAINE MEDICAL CENTER - (Acute Care)
    300 MAIN STREET
    LEWISTON, ME 04240
  • MAINE MEDICAL CENTER - (Acute Care)
    22 BRAMHALL ST
    PORTLAND, ME 04102
  • MID COAST HOSPITAL - (Acute Care)
    123 MEDICAL CENTER DRIVE
    BRUNSWICK, ME 04011
  • SOUTHERN MAINE MEDICAL CENTER - (Acute Care)
    1 MEDICAL CENTER DRIVE
    BIDDEFORD, ME 04005
  • ST ANDREWS HOSPITAL (LINCOLN COUNTY HEALTHCARE) - (Critical Access)
    6 ST ANDREWS LANE - PO BOX 417
    BOOTHBAY HARBOR, ME 04538
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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