Kenly, Meredith

Kenly, Meredith is an individual health care provider with primary practice located at 33 Windham Rd , Pelham NH 03076. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kenly, Meredith can be contacted via phone (603) 635-5440.

Contact Information

Primary practice address
33 Windham Rd Pelham NH 03076
Fax: (603) 635-5441
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1363 New Hampshire

Profile Details

NPI number 1619354859
LBN Legal business name Kenly, Meredith
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2015
Last updated Jun 12th, 2018 - about 6 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 1619354859 NPPES
Massachusetts Other PA5283 BOARD OF REGISTRATION OF PHYSICIAN ASSISTANTS

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