Individual
KELLY FECIUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
208 ROBINSON RD, HUDSON, NH 03051-3059
(341) 060-3577
Mailing address
98 BAYBERRY LN, LONDONDERRY, NH 03053-4604
(603) 582-3705
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
066027-23
NH
Other
Enumeration date
06/06/2019
Last updated
07/08/2019
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