Individual
KALEIGH ELIZABETH BEADLECOMB
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) 662-4618
(207) 662-6254
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4618
(207) 662-6254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.1442
AL
363A00000X
Physician Assistant
Primary
PA2958
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A07963B
—
AL
Enumeration date
08/01/2011
Last updated
02/24/2026
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