Individual
KRISTIN GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
Mailing address
887 CONGRESS ST STE 400, PORTLAND, ME 04102-3163
(207) 774-6368
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2287
ME
Other
Enumeration date
07/28/2022
Last updated
01/23/2023
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