Individual
MS. MARY ELIZABETH KENISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
47 CHURCH ST, GROVETON, NH 03582-4061
(603) 636-1101
(603) 788-5027
Mailing address
47 CHURCH ST, GROVETON, NH 03582-4061
(603) 636-1101
(603) 788-5027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0363542303
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006374
—
VT
05
—
30011451
—
NH
Enumeration date
12/29/2005
Last updated
01/28/2011
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