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Individual
DR. KENNETH PAUL BERTHIAUME
Active
Individual
DR. KENNETH PAUL BERTHIAUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
997
NH
111N00000X
Chiropractor
BE905
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BEY35654
BLUE SHIELD
MA
Enumeration date
02/01/2007
Last updated
05/04/2020
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