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

Kaitlyn Beverly Mellon

Individual provider Physician Assistant · NPI 1144162132

Kaitlyn Beverly Mellon is a Physician Assistant in Portland, Maine. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

22 Bramhall St
Portland, ME 04102-3175
Phone: (207) 662-0111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1144162132
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 8, 2026
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

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