Whalio Doctors

NPI 1841713633

Jennifer Alice Kole, PAC

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Portland, ME

Practice location

Address
22 Bramhall St, Portland, ME 04102-3134
Phone
(207) 662-0111
Mailing address
818 Congress St, Portland, ME 04102-3112

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence PA1735 (ME)

Registry record

NPI
1841713633
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Jul 2017
Record last updated
21 Jul 2022

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.