Individual
MRS. KATHLEEN M KIDDER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
276 NEWPORT RD, THE GALLERY, SUITE 107, NEW LONDON, NH 03257-5468
(603) 526-4144
(603) 526-4167
Mailing address
276 NEWPORT RD, THE GALLERY, SUITE 107, NEW LONDON, NH 03257-5468
(603) 526-4144
(603) 526-4167
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30009297
—
NH
01
—
3992393
CIGNA
NH
01
—
S78734
HARVARD PILGRIM
NH
Enumeration date
01/12/2006
Last updated
07/09/2007
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