Provider Demographics
NPI:1366549008
Name:ROHR, KATHRYN ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:ANNE
Last Name:ROHR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 MERRY ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:EDGECOMB
Mailing Address - State:ME
Mailing Address - Zip Code:04556-3418
Mailing Address - Country:US
Mailing Address - Phone:207-633-0403
Mailing Address - Fax:
Practice Address - Street 1:122 MERRY ISLAND RD
Practice Address - Street 2:
Practice Address - City:EDGECOMB
Practice Address - State:ME
Practice Address - Zip Code:04556-3418
Practice Address - Country:US
Practice Address - Phone:207-633-0403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG35840207XS0106X, 207XS0114X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMD21807OtherMAINE MEDICAL LICENSE NUMBER
CAG35840OtherCA MEDICAL LICENSE NUMBER
CAMD21807OtherMAINE MEDICAL LICENSE NUMBER
CA00G358400Medicare ID - Type Unspecified
CA5873440001Medicare NSC