Individual
KENDRA A. CORNWALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
25 MIDDLE ST, PORTLAND, ME 04101-4869
(207) 415-0380
Mailing address
25 MIDDLE ST, PORTLAND, ME 04101-4869
(207) 415-0380
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO2248
ME
Other
Enumeration date
06/23/2008
Last updated
08/23/2017
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