Individual
MR. KYLE M ST. JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2638
(207) 828-2100
(207) 553-7166
Mailing address
33 SEWALL ST, PORTLAND, ME 04102-2638
(207) 828-2100
(207) 553-7166
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA15865
CA
363A00000X
Physician Assistant
Primary
PA2989
ME
Other
Enumeration date
05/07/2007
Last updated
07/21/2026
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