Kellie Ann P Goudreau, MS, PA-C

NPI #1235410515 in Portland, Maine

Provider Information

NPI Number: 1235410515
Entity Type: Individual
Name: Kellie Ann P Goudreau, MS, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: MS, PA-C
Enumeration Date: Aug 31, 2011
Last Updated: Dec 5, 2024

Practice Location

Address: 144 STATE ST
City: Portland
State: Maine
ZIP Code: 04101-3776
Phone: (207) 879-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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