Individual
MRS. KELLISUE FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
21 HAMPTON RD BLDG 2, EXETER, NH 03833-4831
(603) 775-0000
(603) 658-0032
Mailing address
4 ALUMNI DR, EXETER, NH 03833-2118
(603) 775-0000
(603) 658-0032
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0414
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3083042
—
NH
Enumeration date
09/06/2005
Last updated
10/16/2025
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