Individual
DR. KEVIN HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 GRIFFIN RD, SUITE 15, PORTSMOUTH, NH 03801-7145
(603) 431-7393
(603) 430-2195
Mailing address
357 RICHARDS AVE, PORTSMOUTH, NH 03801-5240
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9019
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30011640
—
NH
Enumeration date
05/25/2006
Last updated
01/08/2009
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