Individual
MRS. KATHLEEN MARIE CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27 JUNIPER TRAIL WAY, STRAFFORD, NH 03884-6820
(603) 664-5166
Mailing address
PO BOX 535, STRAFFORD, NH 03884-0535
(603) 664-5166
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6692
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82370475
—
NH
Enumeration date
08/02/2005
Last updated
07/08/2007
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