Individual
MS. KYLE THERESA MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
175 FORE RIVER PKWY, PORTLAND, ME 04102-2779
(207) 879-3000
Mailing address
29 MARY LN, CUMBERLAND FORESIDE, ME 04110-1442
(860) 280-5125
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
075000
CT
163W00000X
Registered Nurse
RN83171
ME
367500000X
Certified Registered Nurse Anesthetist
004584
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
075000
CT
367500000X
Certified Registered Nurse Anesthetist
RNA223051
ME
Other
Enumeration date
09/15/2010
Last updated
02/27/2023
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