Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN RAYMOND GENDREAU, M.D.
ActiveDR. KEVIN RAYMOND GENDREAU, M.D. is a Obesity Medicine healthcare provider located in BROCKTON, Massachusetts. NPI 1023422607 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · BROCKTON, MA
Registration Details
- NPI Number
- 1023422607
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2014 (12.201345064442 yrs)
- Last Updated
- Mar 10, 2022
- Licenses
-
MD17833 (RI)270162 (MA)270162 (MA)
Practice Information
- Address
-
110 LIBERTY STBROCKTON, MA, 023015674Browse MA providers · Browse ZIP 02301
- Phone
- 5088940400
- Fax
- 5085650097
- Primary Specialty
-
Obesity Medicine
207QB0002X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Obesity Medicine
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.