KENNEBEC MEDICAL CONSULTANTS LLC
NPI 1821386343
Colon & Rectal Surgery in Waterville, ME

Active since July 18, 2011CLIA 20D2222637 · Waiver
13 RAILROAD SQ, SUITE 2, WATERVILLE, ME 04901(207) 877-9562(207) 877-9560 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kennebec Medical Consultants Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEBEC MEDICAL CONSULTANTS LLC (NPI 1821386343) is a healthcare organization registered as a colon & rectal surgery in Waterville, Maine and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through June 11, 2027, maintains a secondary practice location in Lincolnville, and lists Jerald E Hurdle, Owner, as its authorized official.

NPPES Registry Identity

NPI1821386343
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameKENNEBEC MEDICAL CONSULTANTS LLC
Location Address13 RAILROAD SQ, SUITE 2Waterville, ME 04901-6139
Mailing AddressPo Box 805Waterville, ME 04903-0805 · (207) 877-9562 · Fax (207) 877-9560
Fax(207) 877-9560
Organization SubpartNo
Authorized OfficialJerald E HurdleOwner · (207) 877-9562
Enumeration DateJuly 18, 2011
Last NPPES UpdateDecember 10, 2025
NPPES CertifiedDecember 10, 2025
NPI 1821386343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in ME · 2163
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 2163 (ME)
13 RAILROAD SQ, Waterville, ME 04901

Secondary Practice Location 1

Location 12239 Atlantic HWYLincolnville, ME 04849-5310 · Phone (207) 877-9562 · Fax (207) 877-9560

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2222637

Kennebec Medical Consultants · Waterville, ME
Active · expires Jun 11, 2027
CLIA Number20D2222637
Laboratory TypePractitioner Other
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorHurdle S. Jerald
Laboratory Phone(207) 877-9562
Laboratory LocationKennebec Medical Consultants13 Railroad Square, Suite 2, Waterville, ME 04901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
13 RAILROAD SQ
WATERVILLE, ME 04901
Nurse Practitioner (Family)
13 RAILROAD SQ, KENNEBEC FAMILY PRACTICE
WATERVILLE, ME 04901
Colon & Rectal Surgery
13 RAILROAD SQ, SUITE 1
WATERVILLE, ME 04901
Nurse Practitioner (Family)
13 RAILROAD SQ
WATERVILLE, ME 04901
Clinic/Center (Mental Health (Including Community Mental Health Center))
13 RAILROAD SQ
WATERVILLE, ME 04901
Family Medicine
13 RAILROAD SQ
WATERVILLE, ME 04901
Family Medicine
13 RAILROAD SQ
WATERVILLE, ME 04901
Counselor (Mental Health)
13 RAILROAD SQ
WATERVILLE, ME 04901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennebec Medical Consultants LLC's NPI number?

The NPI number for Kennebec Medical Consultants LLC is 1821386343. It was assigned to this organization in the NPPES registry on July 18, 2011.

Where is Kennebec Medical Consultants LLC located?

Kennebec Medical Consultants LLC is located at 13 Railroad Sq Suite 2, Waterville, ME 04901. The listed phone number is (207) 877-9562.

What is Kennebec Medical Consultants LLC's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Does Kennebec Medical Consultants LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2222637) is associated with this NPI, valid through June 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kennebec Medical Consultants LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Kennebec Medical Consultants LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kennebec Medical Consultants LLC was last updated on December 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.