Goudreau, Kellie Ann P

Goudreau, Kellie Ann P is an individual health care provider with primary practice located at 144 State St , Portland ME 04101-3776. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Goudreau, Kellie Ann P can be contacted via phone (207) 879-3000.

Contact Information

Primary practice address
144 State St Portland ME 04101-3776
Phone: (207) 879-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2012-0052 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1775 Maine

Profile Details

NPI number 1235410515
LBN Legal business name Goudreau, Kellie Ann P
Credentials MS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2011
Last updated Jun 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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