Individual
KIRSTEN UELAND GALLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
119 GANNETT DR, SOUTH PORTLAND, ME 04106-6942
(207) 773-0040
(207) 661-4630
Mailing address
119 GANNETT DR, SOUTH PORTLAND, ME 04106-6942
(207) 773-0040
(207) 661-4630
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1985
ME
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA1985
ME
Other
Enumeration date
06/29/2017
Last updated
05/06/2026
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