Individual
KIMBERLY MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 BAY ST, WOLFEBORO, NH 03894-4320
(603) 569-1884
Mailing address
87 WASHINGTON ST, CONWAY, NH 03818-6044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7706638Y0NH01
ANTHEM
—
Enumeration date
04/03/2007
Last updated
07/08/2007
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