Individual provider Active NPI

Kathleen McKeon, NP-C

  • Family Nurse Practitioner
  • Kennebunk, ME
National Provider Identifier
1649427329
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP081944 Issued in ME
Practice address
149 Port Rd
Kennebunk, ME 04043-7720
Phone
(207) 477-6989
Fax
(207) 614-8922
NPI assigned
Aug 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP081944 ME Primary

Addresses

Primary practice location

149 Port Rd
Kennebunk, ME 04043-7720

Mailing address

149 Port Rd
Kennebunk, ME 04043-7720
Phone (207) 477-6989

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081203000443 ME Practitioner - Nurse Practitioner 7214098789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kennebunk Walk-in Clinic CurrentSince Sep 1, 2022 Accepting new patients
John Painter, DO Past Accepting new patients

Locations

62 Portland Rd
Ste 47
Kennebunk, ME 04043
Phone (207) 502-7386

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1649427329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 PORT RD",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437720",
            "telephone_number": "207-477-6989",
            "fax_number": "207-614-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 PORT RD",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437720",
            "telephone_number": "207-477-6989",
            "fax_number": "207-614-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEON",
        "first_name": "KATHLEEN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "AP081944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

Verify at the official NPI Registry.