Dr. Robert Luther Kenney
Dermatologist
325b Kennedy Memorial Dr
Waterville
, Maine 04901-4517
Dr. Robert Luther Kenney
Dermatologist
325b Kennedy Memorial Dr
Waterville
, Maine 04901-4517
(207) 859-9987
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Robert Luther Kenney
- 450 Upper Main Street
- Waterville, ME
- Zip : 04901
- Phone : (207) 859-9987
Second Address
- Dr. Robert Luther Kenney
- 325b Kennedy Memorial Dr
- Waterville, ME
- Zip : 04901-4517
- Fax : (207) 872-6584
- Phone : (207) 872-6584
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 1052 | ME |
National Provider Identifier
| NPI | 1013076678 |
|---|---|
| Provider Name | Dr. Robert Luther Kenney |
| First Address | Waterville, ME 04901 |
| Second Address | Waterville, ME 04901-4517 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/12/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001856 | BLUE CROSS BLUE SHIELD (01) | ME |
| B58147 | (02) | ME |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.