Individual
KAYLA R. SIRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
84 MARGINAL WAY, PORTLAND, ME 04101
(207) 774-5816
(207) 523-8597
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 828-0361
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1825
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2018
Last updated
09/24/2020
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