Kristin E. Kentopp, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

014439 Issued in ME

Practice address

5 Miles Center Way
Unit 1
Damariscotta, ME 04543-4047

Phone

(207) 563-4250

Fax

(207) 563-4561

NPI assigned

Jul 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1366449258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 745",
            "city": "NEWCASTLE",
            "state": "ME",
            "postal_code": "045530745",
            "telephone_number": "207-563-4146",
            "fax_number": "207-563-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MILES CENTER WAY",
            "address_2": "UNIT 1",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434047",
            "telephone_number": "207-563-4250",
            "fax_number": "207-563-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENTOPP",
        "first_name": "KRISTIN",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "014439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312650099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Kahn, PH.D.
• Matthew Justin Kark, DO
• Susan Keene
• Daniel Norman Keeport, M.D.
• Melissa Keeport, MD
• Elizabeth Kerr, FNP
• Christine C. Kimball, LCSW
• Aaron Burke Kirby, MD
• Anne E Kornkven, MD
• Edmund J Krawic, LCPC

• Internal Medicine Physician in Damariscotta, ME
• Providers in Damariscotta, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.