Individual
KAIDEN P TRASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
33 WHITING HILL RD, BREWER, ME 04412-1021
(207) 973-7272
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5000
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2082
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2019
Last updated
08/02/2021
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