Individual provider · Type 1 NPI

Kelsey Elizabeth Wenner, PA-C

Medical Physician Assistant · Portland, ME

NPI number 1760990212 Active

Practice location

144 State St
Portland, ME 04101-3776

Mailing address

175 Fore River Pkwy
Portland, ME 04102-2779

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1760990212

Kelsey Elizabeth Wenner, PA-C's National Provider Identifier is 1760990212, issued on Jan 18, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, ME. The record was last updated on Dec 11, 2024.