Physician Assistant, Surgical
KIRSTEN GALLERY PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1033630926 · enumerated 2017-06-29 · record updated 2026-05-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 119 GANNETT DR, SOUTH PORTLAND, ME, 04106-6942 (207) 773-0040 Fax (207) 661-4630 Google Maps Apple Maps OpenStreetMap
- Practice location 119 GANNETT DR, SOUTH PORTLAND, ME, 04106-6942 (207) 773-0040 Fax (207) 661-4630 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · Primary · License PA1985 ME
- Physician Assistant 363A00000X · License PA1985 ME
In this directory
ME Cumberland County South Portland Physician Assistant, Surgical
Locations and evidence
-
Practice location
SOUTH PORTLAND, ME, 041066942
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.