Individual
KAYLI IGOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2693
(603) 978-4907
Mailing address
32 DURHAM POINT RD, DURHAM, NH 03824-3126
(603) 978-4907
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/21/2023
Last updated
07/18/2025
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