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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659110906

Kaiya Mare Sundeen is a Student in an Organized Health Care Education/Training Program in Portland, Maine. Works from 5 locations. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

716 Stevens Ave
Portland, ME 04103-2693
Phone: (715) 220-6250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 360 Kingstown Rd Unit 101, Narragansett, RI 02882-3258 — (401) 767-4100
  • 1 River St, Wakefield, RI 02879-3214 — (401) 767-4100
  • 186 Providence St, West Warwick, RI 02893-2508 — (401) 767-4100
  • 450 Clinton St, Woonsocket, RI 02895-3207 — (401) 767-4100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01951 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659110906
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 24, 2024
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026
Mailing address716 Stevens Ave, Portland, ME 04103-2693

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