Individual
KERRY MARIE LOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
21 CLARK WAY, SOMERSWORTH, NH 03878-4401
(603) 692-2228
Mailing address
21 CLARK WAY, SOMERSWORTH, NH 03878-4401
(603) 692-2228
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1050
NH
363AM0700X
Medical Physician Assistant
PA4472
MA
Other
Enumeration date
10/25/2012
Last updated
04/07/2016
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