Individual
KATHLEEN K REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10 MEMBERS WAY STE 300, DOVER, NH 03820-5933
(603) 749-0913
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-7338
(603) 740-9528
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CNP111070
ME
363LP2300X
Primary Care Nurse Practitioner
Primary
043192-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3076089
—
NH
Enumeration date
05/25/2006
Last updated
08/30/2019
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