IndividualActive
Amanda Keene, PA-C
NPI 1366909103 · Surgical Physician Assistant · South Portland, ME
Provider details
- NPI number
- 1366909103
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA1902 (ME)
Practice location
119 Gannett Dr
South Portland, ME 04106-6942
Phone: (207) 773-0040
Fax: (207) 661-4630
Mailing address
119 Gannett Dr
South Portland, ME 04106-6942
Registry dates
- Enumerated
- 2019-02-28
- Last updated
- 2020-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.