NPI 1013076678 · live from the CMS NPI Registry
Robert Luther Kenney, D.O
Dermatology in Waterville, ME. National Provider Identifier 1013076678, active.
NPI record
| NPI | 1013076678 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 325b Kennedy Memorial Dr, Waterville, ME 04901 |
| Practice phone | 207-872-6584 |
| Mailing address | 450 Upper Main Street, Waterville, ME 04901 |
| Enumerated | December 8, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 1052 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.