Individual
CATHERINE KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 KINGSBURY ST, KEENE, NH 03431-3825
(603) 352-0165
Mailing address
121 PAGE RD, NEW LONDON, NH 03257-5782
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0813
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13Y008547NH01
ANTHEM
NH
01
—
4145899
MVP
NH
Enumeration date
03/06/2007
Last updated
07/08/2007
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