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KENNEBEC MEDICAL CONSULTANTS NPI 1821386343


NPI Information

NPI: 1821386343
Provider Name: KENNEBEC MEDICAL CONSULTANTS
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization

CLIA Number: 20D2222637

Address:
13 RAILROAD SQ
SUITE 2
WATERVILLE, ME
ZIP 04901
Phone: (207) 877-9562
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KENNEBEC MEDICAL CONSULTANTS is a colon rectal surgery in Waterville, ME. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. KENNEBEC MEDICAL CONSULTANTS NPI is 1821386343. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

13 RAILROAD SQ
SUITE 2
WATERVILLE, ME
ZIP 04901-139
Phone: (207) 877-9562
Fax: (207) 877-9560

The provider's authorized official is Jerald E Hurdle .
The authorized official title is Owner and has the following contact phone number (207) 877-9562.

The CLIA number assigned to this NPI record is 20D2222637 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/18/2011 and was last updated on 10/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine2163MAINENo
2208C00000XColon & Rectal Surgery2163MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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