Kelly, Kathleen M

Kelly, Kathleen M is an individual health care provider with primary practice located at 4 Alumni Dr , Exeter NH 03833-2118. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kelly, Kathleen M can be contacted via phone (603) 580-7285.

Contact Information

Primary practice address
4 Alumni Dr Exeter NH 03833-2118
Fax: (603) 580-7286
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10182 New Hampshire

Profile Details

NPI number 1811947989
LBN Legal business name Kelly, Kathleen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 17th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811947989 NPPES
New Hampshire MEDICAID 3076245

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