Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dianne E Kallen, MD

Individual provider Family Medicine Physician · NPI 1639274913

Dianne E Kallen, MD is a Family Practice in Old Town, Maine. Graduated from State University of New York at Buffalo School of Medicine in 2001, 25 years ago. Practices with Eastern Maine Medical Center, a 659-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
25
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
ME
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

252 Brunswick St
Old Town, ME 04468
Phone: (207) 827-6128
Fax: (207) 827-5533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 016631 (ME)

Record details

NPI number1639274913
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 13, 2006
Last updated in NPPESDecember 5, 2013
Mailing addressPo Box 1599, Bangor, ME 04402-1599

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Eastern Maine Medical Center — 659 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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