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Contact Information

KEVIN R KENERSON, DO
174 S FREEPORT RD
SUITE 2A
FREEPORT, ME04032-6145
 Phone: 855-239-3556
 Fax: 207-512-5909
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for KEVIN R KENERSON · (Male)

NPI # 1043401672
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/08/2007
Last updated 12/02/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • ME License # 2105
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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