Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathryn E Dobrovolny, PAC

Individual provider Physician Assistant · NPI 1922668466

Kathryn E Dobrovolny, PAC is a Physician Assistant in Brewer, Maine. Qualified in 2019, 7 years ago. Practices with Penobscot Community Health Center, a 132-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
7
Licensed in
ME
In the registry since
2019
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

735 Wilson St
Brewer, ME 04412-1000
Phone: (207) 989-1567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1946 (ME)

Record details

NPI number1922668466
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 17, 2019
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022
Mailing addressPo Box 1599, Bangor, ME 04402-1599

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Penobscot Community Health Center — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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