Individual
DR. ROBERT LUTHER KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
325B KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4517
(207) 872-6584
(207) 872-6584
Mailing address
450 UPPER MAIN STREET, WATERVILLE, ME 04901
(207) 859-9987
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1052
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001856
BLUE CROSS BLUE SHIELD
ME
Enumeration date
12/08/2006
Last updated
07/08/2007
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