Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLIE ANN P GOUDREAU, MS, PA-C
ActiveKELLIE ANN P GOUDREAU, MS, PA-C is a Emergency Medicine healthcare provider located in PORTLAND, Maine. NPI 1235410515 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · PORTLAND, ME
Registration Details
- NPI Number
- 1235410515
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2011 (14.923791937641 yrs)
- Last Updated
- Dec 5, 2024
- Licenses
-
PA1775 (ME)PA2012-0052 (NM)PA1775 (ME)
Practice Information
- Address
-
144 STATE STPORTLAND, ME, 041013776Browse ME providers · Browse ZIP 04101
- Phone
- 2078793000
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Emergency Medicine Providers in PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| MARK W FOURRE | MD | 1588653018 |
| DR. MEGAN L FIX | MD | 1578554457 |
| THOMAS MICHAEL O'MARA | M.D. | 1922052687 |
| REBECCA B BLOCH | M.D. | 1366499592 |
| MARTHA B SCOTT | M.D. | 1730123290 |
| JOHN RUCKER HENSON | M.D. | 1568406973 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.