IndividualActive
Kathy Bush, MD
NPI 1508831900 · Dermatology Physician · South Portland, ME
Provider details
- NPI number
- 1508831900
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2005-00586 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
100 Foden Road West
Suite 100
South Portland, ME 04106
Phone: (207) 523-3900
Fax: (207) 523-8593
Approximate (ZIP-level) locationGet directions
Mailing address
100 Gannett Drive
South Portland, ME 04106
Registry dates
- Enumerated
- 2006-02-20
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.