Catherine Milliken Kimball, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1175 Issued in ME

Practice address

180 Kennedy Memorial Dr
Ste 301
Waterville, ME 04901-4541

Phone

(207) 873-3753

Fax

(207) 873-2620

NPI assigned

Jun 16, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1457356370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 KENNEDY MEMORIAL DR",
            "address_2": "STE 301",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014541",
            "telephone_number": "207-873-3753",
            "fax_number": "207-873-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 KENNEDY MEMORIAL DR",
            "address_2": "STE 301",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014541",
            "telephone_number": "207-873-3753",
            "fax_number": "207-873-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "CATHERINE",
        "middle_name": "MILLIKEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127010099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennebec Valley Mental Health Center
• Rebecca Ellen Kennedy, LCPC-C
• Elizabeth Kristen Kennett, RN
• Robert Luther Kenney, D.O
• Kerish Benttinen LCSW, LLC
• Jamie Lynn Kimball, FNP
• Beverly A Kimpel, MD
• Abbigail Sarah King
• Kristina Ann King, PMHNP-BC
• Robyn King, LCSW

• Family Medicine Physician in Waterville, ME
• Providers in Waterville, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.