| Doctor Name: | MS. KATHLEEN ANNE HEYDEN |
| NPI Number: | 1376733493 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP, GNP |
| License Number: | AP081881 |
| Business Practice Address: | 242 Brunswick St Old Town, ME - 044681613 |
| Business Phone Number: | 2078276128 |
| Business Fax Number: | 2078276605 |
| Mailing Address: | Po Box 1599, BANGOR |
| State: | ME |
| Postal Code: | 044021599 |
| Phone Number: | 2079455247 |
| Fax Number: | 2079470435 |
| NPI Enumeration Date: | 07/25/2007 |
| NPI Last Update Date: | 04/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | AP081881 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |