Individual
KUSHINGA MATILDA BVUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
(603) 640-1228
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(160) 330-8146
(561) 955-3577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23128
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
03/27/2020
Last updated
12/10/2025
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