Kennebec Medical Consultants LLC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

2163 Issued in ME

Legal business name

KENNEBEC MEDICAL CONSULTANTS LLC

Practice address

13 Railroad SQ
Suite 2
Waterville, ME 04901-6139

Phone

(207) 877-9562

Fax

(207) 877-9560

NPI assigned

Jul 18, 2011

Organization subpart

No

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

Authorized official

Name

Jerald E Hurdle, D.O.NPI 1184648784

Title

Owner

Phone

(207) 877-9562

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerald E Hurdle, D.O.

  • Colon & Rectal Surgery Physician
  • Waterville, ME
  • NPI 1184648784
  Medicare reassignment Care Compare group Authorized official
• Nathan S. Uebelhoer, D.O.

  • MOHS-Micrographic Surgery Physician
  • National City, CA
  • NPI 1659344513

  ME

  Medicare reassignment
• Michael J Yablonsky, M.D.

  • MOHS-Micrographic Surgery Physician
  • Providence, RI
  • NPI 1811960503

  ME

  Medicare reassignment
• Mayra A. Torres Brink, PA-C

  • Physician Assistant
  • Augusta, ME
  • NPI 1427399906
  Care Compare group

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1821386343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 805",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049030805",
            "telephone_number": "207-877-9562",
            "fax_number": "207-877-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 RAILROAD SQ",
            "address_2": "SUITE 2",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016139",
            "telephone_number": "207-877-9562",
            "fax_number": "207-877-9560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2239 Atlantic HWY",
            "address_purpose": "LOCATION",
            "city": "Lincolnville",
            "state": "ME",
            "postal_code": "048495310",
            "country_code": "US",
            "telephone_number": "207-877-9562",
            "fax_number": "207-877-9560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENNEBEC MEDICAL CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "HURDLE",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-877-9562",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "2163",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "ME",
            "license": "2163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Kelly
• Monica L. Kelly, LCSW
• Linda Keniston, MD
• Kennebec Eyecare PA
• Kennebec Medical Associates, P.a.
• Kennebec Valley Community Action Program
• Kennebec Valley Community Action Program
• Kennebec Valley Community Action Program (KVCAP Healthy Families)
• Kennebec Valley Community Action Program (kvcap family planning or kvcap health services)
• Kennebec Valley Mental Health Center (Kennebec Behavioral Health)

• Colon & Rectal Surgery Physician in Waterville, ME
• Providers in Waterville, ME by specialty
• Colon & Rectal Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.