Provider Demographics
NPI:1679875496
Name:CARDIN, KATHLEEN (LM)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:CARDIN
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 HUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04443-6300
Mailing Address - Country:US
Mailing Address - Phone:828-215-0834
Mailing Address - Fax:
Practice Address - Street 1:37 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:ME
Practice Address - Zip Code:04443-6300
Practice Address - Country:US
Practice Address - Phone:828-215-0834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-30
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECPM764176B00000X
FL430176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife