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Contact Information

KEVIN A OSGOOD, MD
489 STATE ST
BANGOR, ME04401-6674
 Phone: 404-660-7670
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207PH0002X 17 Physician/Hospice and Palliative Care
Indicates primary specialty

NPI Profile & details for KEVIN A OSGOOD · (Male)

NPI # 1306860705
Status Active
Credentials MD
Entity Individual
Enumeration date 07/27/2006
Last updated 12/10/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ME License # MD12597
  • GA Medicaid 000887884G
  • GA Other 2029I35584 MEDICARE
Hospital affiliation(s)
  • EASTERN MAINE MEDICAL CENTER - (Acute Care)
    489 STATE ST, PO BOX 404
    BANGOR, ME 04401
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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