Individual
MRS. MARY KIMBALL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
718 SMYTH RD, MANCHESTER VAMC, MANCHESTER, NH 03104-7004
(603) 624-4366
Mailing address
4 MOUNT LAWNY LN, MERRIMACK, NH 03054-2676
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
026973-23-06
NH
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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