Individual
KEVIN R KENERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
174 S FREEPORT RD, SUITE 2A, FREEPORT, ME 04032-6145
(855) 239-3556
(207) 512-5909
Mailing address
174 S FREEPORT RD STE 2A, FREEPORT, ME 04032-6145
(207) 307-0958
(207) 512-5909
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2105
ME
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
2105
ME
Other
Enumeration date
08/08/2007
Last updated
12/02/2025
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