Individual provider · Type 1 NPI

Amanda Kathryn Keene, PA-C

Surgical Physician Assistant · South Portland, ME

NPI number 1366909103 Active

Practice location

119 Gannett Dr
South Portland, ME 04106-6942

Call (207) 773-0040 Map

Fax (207) 661-4630

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA1902 (ME)
Surgical Physician Assistant Primary 363AS0400XPA1902 (ME)

Surgical Physician Assistant: Definition to come...

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About NPI 1366909103

Amanda Kathryn Keene, PA-C's National Provider Identifier is 1366909103, issued on Feb 28, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in South Portland, ME. The record was last updated on Feb 19, 2020.