KELLIE ANN GOUDREAU, MS, PA-C
Emergency Medicine
Active
Individual
NPI: 1235410515
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Emergency Medicine | 207P00000X | Yes | PA1775 (ME) |
| Physician Assistant - Medical | 363AM0700X | No | PA1775 (ME) |
Frequently Asked Questions
NPI 1235410515 is the National Provider Identifier for KELLIE ANN GOUDREAU, MS, PA-C, a Emergency Medicine provider located in Portland, ME. This NPI was enumerated on August 31, 2011.
KELLIE ANN GOUDREAU, MS, PA-C practices at 144 STATE ST, Portland, ME 04101.
Quick Facts
- NPI
- 1235410515
- Type
- Individual
- Enumerated
- Aug 31, 2011
- Last Updated
- Dec 5, 2024
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