MEDICARE: KALYN GAGNON DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT6322	ME

General Provider Information

NPI Number	:	1346968013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALYN GAGNON DPT

Provider Business Mailing Address
First Line	:	85 WESTERN AVE UNIT 678
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-2423
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	85 WESTERN AVE UNIT 678
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-2423
Country	:	US
Telephone Number	:	207-774-7751
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2022
Last Update Date	:	02/04/2025

Similar Medicare Providers

1558659664 — SHARON SAMSON STONE PT, DPT
Practice Location Address:

85 WESTERN AVE
SOUTH PORTLAND, ME
04106-2423

Practice Phone: 207-774-7751
Practice Fax:

1326317140 — OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA
Practice Location Address:

85 WESTERN AVE , SUITES 6, 7, 8
SOUTH PORTLAND, ME
04106-2423

Practice Phone: 207-774-7751
Practice Fax:

1376981258 — MIJUNG KIM
Practice Location Address:

85 WESTERN AVE , #3
SOUTH PORTLAND, ME
04106-2423

Practice Phone: 207-408-0479
Practice Fax: 207-541-9304

1659931566 — CHRISTINE HAEYOON KWON DMD
Practice Location Address:

85 WESTERN AVE
SOUTH PORTLAND, ME
04106-2423

Practice Phone: 207-408-0479
Practice Fax:

1437720810 — HUY NGUYEN DMD
Practice Location Address:

85 WESTERN AVE
SOUTH PORTLAND, ME
04106-2423

Practice Phone: 207-408-0479
Practice Fax:

1295306538 — LINDSEY MAIRE FRANCK FNP
Practice Location Address:

85 WESTERN AVE STE 678
SOUTH PORTLAND, ME
04106-2423

Practice Phone: 207-774-7751
Practice Fax:

Directions to “ KALYN GAGNON DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.