Individual
MR. PUTNAM RICHARDSON KIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 HANOVER ST, SUITE 2, LEBANON, NH 03766-1312
(603) 448-0126
(603) 448-0129
Mailing address
9 HANOVER ST, SUITE 2, LEBANON, NH 03766-1312
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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