Kendra A. Cornwall DO

NPI 1700047792 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1700047792
Gender Female
Enumeration Date 06/23/2008
Last Updated 04/21/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
165 LANCASTER ST
PORTLAND ME, 04101-2406, US
Phone (207) 874-1030
Fax (207) 874-1044
Business Location
78 ATLANTIC PLACE
SOUTH PORTLAND ME, 04106-2316, US
Phone (207) 661-6654
Fax (207) 842-7773
Toxanomy
Taxonomy Code 2084P0800X
License State Maine
License Number DO2248
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According to our database, Kendra A. Cornwall DO NPI is 1700047792, taxonomy code is 2084P0800X and license number is DO2248, license state is located at Maine. Kendra A. Cornwall DO physically located at 165 Lancaster St, Portland ME, 04101-2406. NPI Number Kendra A. Cornwall DO has the Individual type.

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1700047792 NPI number is provided on an as is basis without warranty of any kind. 1700047792 is maintained by the National Plan & Provider Enumeration System. The contents of Kendra A. Cornwall DO are for informational purposes only.