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Kellie Ann P Goudreau, MS,PA-C
Medical Physician Assistant in Portland, Maine
NPI 1235410515

Kellie Ann P Goudreau is a Medical Physician Assistant based in Portland, ME and is specialized in Medical. Kellie Ann P Goudreau practices in Portland, ME and has the professional credentials of MS,PA-C. The NPI Number for Kellie Ann P Goudreau is 1235410515 and holds a License No. PA1775 (Maine).

The current practice location address for Kellie Ann P Goudreau is 144 State St, Portland, ME and can be reached out via phone at 207-879-3000.

Location: 144 State St, Portland, ME, 04101-3776
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235410515
Provider Name
Kellie Ann P Goudreau
Credential
MS,PA-C
Provider Entity Type
Individual
Gender
Female
Address
144 State St, Portland, ME, 04101-3776
Phone Number
207-879-3000
Fax Number
Provider Enumeration Date
08/31/2011
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
144 State St
City
Portland
State
Maine
Zip
04101-3776
Phone Number
207-879-3000
Fax Number
person
Provider Business Mailing Address Details
Address
144 State St
City
Portland
State
Maine
Zip
04101-3776
Phone Number
207-879-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
PA2012-0052 (New Mexico)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA1775 (Maine)
Definition
Definition to come...
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