Individual
KIMBALL B TEMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
580 COURT ST, KEENE, NH 03431-1718
(603) 354-6575
Mailing address
114 JORDAN RD, KEENE, NH 03431-5509
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4452
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000191
—
NH
Enumeration date
07/13/2006
Last updated
07/08/2007
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