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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENDRA GOLDRUP

Active Sole Proprietor

KENDRA GOLDRUP is a Community/Behavioral Health healthcare provider located in WATERVILLE, Maine. NPI 1003486424 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · WATERVILLE, ME

Registration Details

NPI Number
1003486424
Provider Type
Individual
Gender
Female
NPI Issued
Jun 28, 2021 (5.0845748206112 yrs)
Last Updated
Jun 28, 2021
Sole Proprietor
Yes

Practice Information

Address
11 LOUISE AVE
WATERVILLE, ME, 049015050
Browse ME providers · Browse ZIP 04901
Phone
2073148360
Primary Specialty
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.