Individual
KELLIANNE KINANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 CENTRAL MAINE XING, GARDINER, ME 04345-6320
(207) 582-6608
(207) 582-2258
Mailing address
5 CENTRAL MAINE XING, GARDINER, ME 04345-6320
(207) 582-6608
(207) 582-2258
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2539
ME
Other
Enumeration date
09/06/2022
Last updated
12/08/2025
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