Kathy A Bush, MD

NPI #1508831900 in South Portland, Maine

Provider Information

NPI Number: 1508831900
Entity Type: Individual
Name: Kathy A Bush, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Feb 20, 2006
Last Updated: Jun 22, 2011

Practice Location

Address: 100 FODEN ROAD WEST
Address 2: SUITE 100
City: South Portland
State: Maine
ZIP Code: 04106
Phone: (207) 523-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary
Dermatology - Pediatric Dermatology — Pediatric Dermatology	207NP0225X
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X

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