Search › Maine › 207P00000X
Kellie Ann Goudreau, MS, PA-C
NPI 1235410515 · on the registry since 2011
Practice
- Address
- 144 State St
Portland, ME 04101 - Phone
- (207) 879-3000
- Organisation at this address
- Maine Anesthesiology
Radiology Professionals, P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 116
Additional practice sites
- 25a June St, Sanford, ME
- 1090 Goat Springs Road, Taos, NM
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 363AM0700X
363AM0700X - Licence states on file
- ME, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine