Provider Demographics
NPI:1326138926
Name:KERR, LINDSEY ARDEN (MD)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:ARDEN
Last Name:KERR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 GLEN COVE DR STE 3
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04856-4232
Mailing Address - Country:US
Mailing Address - Phone:207-301-5400
Mailing Address - Fax:207-301-5301
Practice Address - Street 1:3 GLEN COVE DR STE 3
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856-4232
Practice Address - Country:US
Practice Address - Phone:207-301-5400
Practice Address - Fax:207-301-5301
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD18075207VF0040X, 2088F0040X, 208800000X
MI4301503411208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
No2088F0040XAllopathic & Osteopathic PhysiciansUrologyUrogynecology and Reconstructive Pelvic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMD18075OtherMAINE LICENSE
KY40773OtherLICENSE
MEBK1124976OtherDEA