Individual
DR. KIM T ORNVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC - DEPT OF PATHOLOGY, LEBANON, NH 03756-1000
(603) 650-7211
Mailing address
1 MEDICAL CENTER DR, DHMC - DEPT OF PATHOLOGY, LEBANON, NH 03756-1000
(603) 650-7211
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
8681
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002212
—
VT
05
—
80002212
—
NH
Enumeration date
07/09/2006
Last updated
01/10/2012
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