Kimberly Hunter Dedeus PA-C

NPI 1063408144 - Physician Assistant - 363AS0400X

NPI Details
NPI 1063408144
Gender Female
Enumeration Date 09/23/2005
Last Updated 06/24/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
333 BORTHWICK AVE
MEDICAL OFFICE BUILDING SUITE 301
PORTSMOUTH NH, 03801-7128, US
Phone (603) 431-5858
Fax (603) 431-5818
Business Location
333 BORTHWICK AVE
MEDICAL OFFICE BUILDING SUITE 301
PORTSMOUTH NH, 03801-7128, US
Phone (603) 431-5858
Fax (603) 431-5818
Toxanomy
Taxonomy Code 363AS0400X
License State New Hampshire
License Number 0504P
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According to our database, Kimberly Hunter Dedeus PA-C NPI is 1063408144, taxonomy code is 363AS0400X and license number is 0504P, license state is located at New Hampshire. Kimberly Hunter Dedeus PA-C physically located at 333 Borthwick Ave, Portsmouth NH, 03801-7128. NPI Number Kimberly Hunter Dedeus PA-C has the Individual type.

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1063408144 NPI number is provided on an as is basis without warranty of any kind. 1063408144 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Hunter Dedeus PA-C are for informational purposes only.