Kevin R Kenerson
BE WELL MY FRIEND LLC


Address: 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145
Phone: 8552393556

Kevin R Kenerson (NPI# 1043401672, PAC ID# 9931255031) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1043401672
PAC ID by PECOS 9931255031
Professional Enrollment ID I20090915000210
Full Name Kevin R Kenerson
Organization Legal Name BE WELL MY FRIEND LLC
Address 174 S Freeport Rd
Suite 2a
Freeport
ME 04032-6145
Phone Number 8552393556
Gender M
Medical School UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduation Year 2006
Primary Specialty FAMILY MEDICINE
Secondary Specialties OSTEOPATHIC MANIPULATIVE MEDICINE
Group Practice PAC ID 6406079342
Number of Group Practice Members 8
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
200039 MAINE GENERAL MEDICAL CENTER

Other Locations

Address Phone Organization
12 Shuman Ave, Suite 3, Augusta, ME 04330-6020 8552393556 BE WELL MY FRIEND LLC
174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145 8552393556 BE WELL MY FRIEND LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %

Organization Information

Organization Legal Name BE WELL MY FRIEND LLC
Physicians 8

Physicians with the same organization

Name Specialty Organization Address
Richard A Fein Family Medicine Be Well My Friend LLC 12 Shuman Ave, Suite 3, Augusta, ME 04330-6020
Stephen R Goldbas Osteopathic Manipulative Medicine Be Well My Friend LLC 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145
Michael D Dufresne Family Medicine Be Well My Friend LLC 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145
Angela L Branda Pediatric Medicine Be Well My Friend LLC 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145
Brett D Adell Clinical Social Worker Be Well My Friend LLC 12 Shuman Ave, Suite 3, Augusta, ME 04330-6020
Julie E Franklin Nurse Practitioner Be Well My Friend LLC 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145
Joseph J Sorbello Physician Assistant Be Well My Friend LLC 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145

Office Location

Street Address 174 S FREEPORT RD
SUITE 2A
City FREEPORT
State ME
Zip 04032-6145

Physicians in the same location

Name Specialty Organization Address
Stephen R Goldbas Osteopathic Manipulative Medicine Be Well My Friend LLC 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145
John Gordon Haldeman Physical Therapy 174 S Freeport Rd, Suite 2c, Freeport, ME 04032-6145
David C Lilly Psychologist, Clinical 174 S Freeport Rd, Suite 2e, Freeport, ME 04032-6145
Michael D Dufresne Family Medicine Be Well My Friend LLC 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145
James A Hendricks Chiropractic 174 S Freeport Rd, Suite 1f, Freeport, ME 04032-6145
Angela L Branda Pediatric Medicine Be Well My Friend LLC 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145
Julie E Franklin Nurse Practitioner Be Well My Friend LLC 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145
Joseph J Sorbello Physician Assistant Be Well My Friend LLC 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145

Physicians in the same zip code

Name Specialty Organization Address
Margaret R Kimball Clinical Social Worker 32 Linwood Rd, Freeport, ME 04032-1132
Michelle Renee Selby Clinical Social Worker Partnership for Trauma Recovery 45 Mallett Dr, Freeport, ME 04032-1312
Robert B Cameron Clinical Social Worker 45 Mallett Dr, Freeport, ME 04032-1312
Grace L Wright Clinical Social Worker Partnership for Trauma Recovery 45 Mallett Dr, Freeport, ME 04032-1312
Angie J. Moorman Clinical Social Worker Partnership for Trauma Recovery 45 Mallett Dr, Freeport, ME 04032-1312
Lyndsey Patton Nurse Practitioner Ibis Health Services - Maine LLC 140 Main St, Suite 3, Freeport, ME 04032-1348
Carrie Pollard Donoghue Occupational Therapy 147 Main St, Freeport, ME 04032-1353
Kevin C Zorski General Practice Kevin Zorski D.o. LLC 42 Mallett Dr, Freeport, ME 04032-1355
Laurel A Snow Clinical Social Worker 2 Cushing Briggs Rd, Freeport, ME 04032-6140
David Johnson Osteopathic Manipulative Medicine 36 Old S Freeport Rd, Freeport, ME 04032-6146
Find all physicians in zip 04032

Competitor

Search similar physicians

City FREEPORT
Zip Code 04032
Specialty FAMILY MEDICINE
City + Specialty FREEPORT + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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