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Individual

JAMES RAYMOND KAVANAGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
330 BORTHWICK AVENUE, SUITE 100, PORTSMOUTH, NH 03801
(603) 436-3433
Mailing address
330 BORTHWICK AVENUE, SUITE 100, PORTSMOUTH, NH 03801
(603) 436-3433

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
06033823
NH

Other

Enumeration date
03/17/2009
Last updated
03/17/2009
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