Most Relevant Information
Provider Data
| NPI Number: | 1003486424 |
| Provider Name: | KENDRA GOLDRUP |
| Entity Type: | Individual |
| Taxonomy Code: | 251S00000X |
| Specialty: | Community/Behavioral Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/28/2021 |
| Last Updated: | 06/28/2021 |
Provider Practice Location
11 LOUISE AVE
WATERVILLE
ME
049015050
Practice Location Phone/Fax
| Phone: | 2073148360 |
| Fax: |
Provider Mailing Location
11 LOUISE AVE
WATERVILLE
ME
049015050
Provider Mailing Phone/Fax
| Phone: | 2073148360 |
| Fax: |