Provider Demographics
NPI:1518283530
Name:EMERY, KENDRA (DO)
Entity Type:Individual
Prefix:DR
First Name:KENDRA
Middle Name:
Last Name:EMERY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 HERITAGE CIR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04938-7046
Mailing Address - Country:US
Mailing Address - Phone:207-320-5865
Mailing Address - Fax:
Practice Address - Street 1:7 MADELYN LN STE 200
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856
Practice Address - Country:US
Practice Address - Phone:207-921-5900
Practice Address - Fax:207-921-5358
Is Sole Proprietor?:No
Enumeration Date:2010-04-15
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2271207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine