Individual
KRISTIN KALAJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
195 UNION STREET, ROCKPORT, ME 04856
(207) 236-2169
(207) 230-0413
Mailing address
195 UNION STREET, PO BOX 1079, ROCKPORT, ME 04856
(207) 236-2169
(207) 230-0413
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA743
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130430000
—
ME
Enumeration date
08/23/2006
Last updated
10/14/2009
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