Provider Demographics
NPI:1306161096
Name:GALBRAITH FAMILY MEDICINE, LLC
Entity type:Organization
Organization Name:GALBRAITH FAMILY MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GALBRAITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-793-9586
Mailing Address - Street 1:44 ELM ST
Mailing Address - Street 2:
Mailing Address - City:LIMERICK
Mailing Address - State:ME
Mailing Address - Zip Code:04048-3924
Mailing Address - Country:US
Mailing Address - Phone:207-793-9586
Mailing Address - Fax:207-793-9587
Practice Address - Street 1:44 ELM ST
Practice Address - Street 2:
Practice Address - City:LIMERICK
Practice Address - State:ME
Practice Address - Zip Code:04048-3924
Practice Address - Country:US
Practice Address - Phone:207-793-9586
Practice Address - Fax:207-793-9587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-06
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME014726207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0015588OtherMEDICARE PTAN