Provider Demographics
NPI:1003784067
Name:PLANTE, KATHLEEN L
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:L
Last Name:PLANTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 LEWISTON RD
Mailing Address - Street 2:
Mailing Address - City:NEW GLOUCESTER
Mailing Address - State:ME
Mailing Address - Zip Code:04260-3833
Mailing Address - Country:US
Mailing Address - Phone:207-926-3763
Mailing Address - Fax:
Practice Address - Street 1:915 LEWISTON RD
Practice Address - Street 2:
Practice Address - City:NEW GLOUCESTER
Practice Address - State:ME
Practice Address - Zip Code:04260-3833
Practice Address - Country:US
Practice Address - Phone:207-926-3763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider