Individual
KIM H DEDEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 BORTHWICK AVE, MEDICAL OFFICE BUILDING SUITE 301, PORTSMOUTH, NH 03801-7128
(603) 431-5858
(603) 431-5818
Mailing address
333 BORTHWICK AVE, MEDICAL OFFICE BUILDING SUITE 301, PORTSMOUTH, NH 03801-7128
(603) 431-5858
(603) 431-5818
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0504P
NH
Other
Enumeration date
09/23/2005
Last updated
02/16/2017
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