Individual
DR. KENNETH PAUL BERTHIAUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3 RIVERSIDE DR, GREENLAND, NH 03840-2322
(603) 422-0432
Mailing address
3 RIVERSIDE DR, GREENLAND, NH 03840-2322
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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