Individual
MEREDITH KENLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
33 WINDHAM RD, PELHAM, NH 03076
(603) 635-5440
(603) 635-5441
Mailing address
PO BOX 3677, NASHUA, NH 03061-3677
(603) 577-7900
(603) 577-7972
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1363
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA5283
BOARD OF REGISTRATION OF PHYSICIAN ASSISTANTS
MA
Enumeration date
04/27/2015
Last updated
06/12/2018
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