# MEDPARK WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841184983
- **Authorized official:** CONNIE MCKAY OWNER (OWNER)
- **Authorized official phone:** (603) 595-8989

## Contact information

- **Practice address:** 225 DERRY RD, HUDSON, NH 03051-3303
- **Practice address phone:** (603) 595-8989
- **Mailing address:** 225 DERRY RD, HUDSON, NH 03051-3303
- **Mailing address phone:** (603) 595-8989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 06/04/2025
- **Last updated:** 07/28/2025
