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Contact Information

ROBERT L KENNEY, D.O
325B KENNEDY MEMORIAL DR
WATERVILLE, ME04901-4517
 Phone: 207-872-6584
 Fax: 207-872-6584
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ROBERT L KENNEY · (Male)

NPI # 1013076678
Status Active
Credentials D.O
Entity Individual
Enumeration date 12/08/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # 1052
  • ME Other 001856 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • MAINE GENERAL MEDICAL CENTER - (Acute Care)
    35 MEDICAL CENTER PARKWAY
    AUGUSTA, ME 04330
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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