Individual
KIMBERLY ANN MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 661-0510
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
195709
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA193025
ME
Other
Enumeration date
09/29/2010
Last updated
06/25/2019
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