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Kennebec Medical Consultants LLC

NPI 1821386343ActiveOrganization· Colon & Rectal Surgery· Waterville, ME

Colon & Rectal Surgery in Waterville, Maine, registered in NPPES in July 2011. The authorized official on file is Jerald E. Hurdle, D.O., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1821386343
StatusActive
Entity typeOrganization
NPI issuedJul 18, 2011
Last updated in NPPESDec 10, 2025
Certified by providerDec 10, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Colon & Rectal Surgery Primary208C00000X2163ME
Family Medicine207Q00000X2163ME

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (ME)

Medicare sources and data years

Other colorectal surgeons in Waterville

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