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Individual

KERRY L PENDAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D

Contact information

Practice address
1 MEDICAL CENTER DR, DHMC - AUDIOLOGY, LEBANON, NH 03756-1000
(603) 650-8125
Mailing address
1 MEDICAL CENTER DR, DHMC - AUDIOLOGY, LEBANON, NH 03756-1000
(603) 650-8125

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A543
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1014076
VT
05
30436059
NH
Enumeration date
08/30/2007
Last updated
01/27/2016
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