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Contact Information

KAILEIGH M PORTER, RD CDE
900 BROADWAY BLDG 3
BANGOR, ME04401
 Phone: 207-907-1187
 Fax: 207-907-1189
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KAILEIGH M PORTER · (Female)

NPI Number 1578800397
Status Active
Credentials RD CDE
Entity Individual
Enumeration date 01/14/2013
Last updated 07/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ME License # DI1186
  • ME License # TD1145
Hospital affiliation(s) Not Available
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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