Individual provider · Type 1 NPI

Kathy A. Bush, MD

Dermatology Physician · South Portland, ME

NPI number 1508831900 Active

Practice location

100 Foden Road West, Suite 100
South Portland, ME 04106

Fax (207) 523-8593

Mailing address

100 Gannett Drive, Suite C
South Portland, ME 04106

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000X2005-00586 (NC)
Procedural Dermatology Physician 207NS0135X2005-00586 (NC)
Dermatology Physician Primary 207N00000X017218 (ME)
Pediatric Dermatology Physician 207NP0225X2005-00586 (NC)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1508831900

Kathy A. Bush, MD's National Provider Identifier is 1508831900, issued on Feb 20, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in South Portland, ME. The record was last updated on Mar 6, 2026.