Kevin R Kenerson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2105 Issued in ME

Practice address

174 S Freeport Rd
Suite 2a
Freeport, ME 04032-6145

Phone

(855) 239-3556

Fax

(207) 512-5909

NPI assigned

Aug 8, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

University of New England, College of Osteo Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Be Well My Friend LLCGroup PAC ID 6406079342, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maine General Medical Center Hospital, Augusta, ME, CCN 200039
• Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.kenerson.2@33369.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Be Well My Friend LLC

  • Family Medicine Physician
  • Augusta, ME
  • NPI 1104250158
  Medicare reassignment Care Compare group NPD
• University of New England

  • Family Medicine Physician
  • Biddeford, ME
  • NPI 1699752055
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Maine Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1689653487
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1043401672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 S FREEPORT RD STE 2A",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326145",
            "telephone_number": "207-307-0958",
            "fax_number": "207-512-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 S FREEPORT RD",
            "address_2": "SUITE 2A",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326145",
            "telephone_number": "855-239-3556",
            "fax_number": "207-512-5909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Shuman Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043306020",
            "country_code": "US",
            "telephone_number": "207-307-0958",
            "fax_number": "207-512-5909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENERSON",
        "first_name": "KEVIN",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "ME",
            "license": "2105",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "2105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Martin Johnson, DO
• Christopher Paul Joseph, RPH, CDM
• Kara L Kaikini, M.S., IBCLC
• Jodie B Kaufman, CNM, FNP-C
• Susan Walsh Kelley, OTR/L
• Kevin Zorski D.O. LLC
• Margaret Revelle Kimball
• Brian Keith Knighton, D.O.
• Kenneth Eugene Koenke, DDS
• Brenda Krueger, RDH

• Family Medicine Physician in Freeport, ME
• Providers in Freeport, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.