Provider Demographics
NPI:1003706755
Name:DOYLE, KENDALL FITZPATRICK
Entity type:Individual
Prefix:
First Name:KENDALL
Middle Name:FITZPATRICK
Last Name:DOYLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 RIDGEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:VEAZIE
Mailing Address - State:ME
Mailing Address - Zip Code:04401-7051
Mailing Address - Country:US
Mailing Address - Phone:207-532-8379
Mailing Address - Fax:
Practice Address - Street 1:110 RIDGEVIEW DR
Practice Address - Street 2:
Practice Address - City:VEAZIE
Practice Address - State:ME
Practice Address - Zip Code:04401-7051
Practice Address - Country:US
Practice Address - Phone:207-532-8379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-05
Last Update Date:2025-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN58743163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse