Individual
KATHRYN MARY KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
51 MARKET ST, SOUTH PORTLAND, ME 04106-3617
(866) 389-2727
Mailing address
51 MARKET ST, SOUTH PORTLAND, ME 04106-3617
(866) 389-2727
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN40707
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP111063
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003386301
MEDICARE POVIDER IDENTIFICATION NUMBER
ME
Enumeration date
09/21/2011
Last updated
03/17/2018
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