Individual
ABBY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 773-8161
Mailing address
818 CONGRESS ST, PORTLAND, ME 04102-3112
(207) 773-8161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1758
ME
Other
Enumeration date
11/03/2017
Last updated
11/06/2023
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