Healthcare Provider Details

I. General information

NPI: 1326138926
Provider Name (Legal Business Name): LINDSEY ARDEN KERR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 08/12/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 GLEN COVE DR STE 3
ROCKPORT ME
04856-4232
US

IV. Provider business mailing address

3 GLEN COVE DR STE 3
ROCKPORT ME
04856-4232
US

V. Phone/Fax

Practice location:
  • Phone: 207-301-5400
  • Fax: 207-301-5301
Mailing address:
  • Phone: 207-301-5400
  • Fax: 207-301-5301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberMD18075
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number4301503411
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License NumberMD18075
License Number StateME
# 4
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD18075
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: