Individual
KEVIN MATTHEW TWOMBLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14 MANCHESTER SQ STE 290, PORTSMOUTH, NH 03801-7866
(603) 766-8500
Mailing address
14 MANCHESTER SQ STE 290, PORTSMOUTH, NH 03801-7866
(603) 766-8500
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
PENDING
NH
363A00000X
Physician Assistant
Primary
1793
NH
Other
Enumeration date
08/24/2021
Last updated
10/12/2021
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