Individual
MRS. KELLY A PENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
17 93RD ST, KEENE, NH 03431-3748
(603) 357-5270
Mailing address
2 RICHMOND RD, TROY, NH 03465-2400
(603) 242-3614
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/18/2007
Last updated
04/18/2008
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