NPI 1295465409

Kaitlyn Rullo

Practitioner Urology Physician Bangor, ME

Practice location

Address: 55 Broadway, Bangor, ME 04401-5201
Phone: (207) 947-0469
Fax: (207) 947-5368
Mailing address: 489 State St, Bangor, ME 04401-6616

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence PA2440 (ME)

Other Urology providers in Maine →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Maine →

Registry record

NPI: 1295465409
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jun 2022
Record last updated: 21 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.