Provider Demographics
NPI:1386874568
Name:MAHER, KENDRA SILVA (DPM)
Entity type:Individual
Prefix:DR
First Name:KENDRA
Middle Name:SILVA
Last Name:MAHER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:KENDRA
Other - Middle Name:
Other - Last Name:SILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:61 LINCOLN ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-8264
Mailing Address - Country:US
Mailing Address - Phone:508-872-9288
Mailing Address - Fax:508-620-7368
Practice Address - Street 1:61 LINCOLN ST
Practice Address - Street 2:SUITE 210
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8264
Practice Address - Country:US
Practice Address - Phone:508-872-9288
Practice Address - Fax:508-620-7368
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2364213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist