Individual
KELLY CORBETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5599
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5599
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19879
NH
208000000X
Pediatrics Physician
9722545-1205
UT
208000000X
Pediatrics Physician
LP02908
RI
Other
Enumeration date
05/31/2013
Last updated
10/31/2019
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