Individual
AMELIA SIANI KERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 MEDICAL CENTER DR, DH - CRITICAL CARE, LEBANON, NH 03756-1000
(603) 650-4642
Mailing address
1 MEDICAL CENTER DR, DH - CRITICAL CARE, LEBANON, NH 03756-1000
(603) 650-4642
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
002711
CT
363AM0700X
Medical Physician Assistant
Primary
1005
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003027117
—
CT
Enumeration date
12/04/2011
Last updated
04/15/2014
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