Individual
KENNETH R. MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-4628
(603) 650-2334
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-4628
(603) 650-2334
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
8825
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE6292
—
VT
05
—
80002394
—
NH
Enumeration date
10/10/2006
Last updated
07/11/2011
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