NPI 1740480938

Diane Marie Kidric, DOJD

Practitioner Anatomic Pathology & Clinical Pathology Physician South Portland, ME

Practice location

Address: 324 Gannett Dr STE 200, South Portland, ME 04106-3266
Phone: (207) 482-7800

Registered specialties (2)

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence DO2424 (ME)

Other Pathology providers in Maine →

Anatomic Pathology & Clinical Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 2012-00949 (NC)

Registry record

NPI: 1740480938
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jul 2007
Record last updated: 31 Mar 2018

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.