Individual
DR. KIMBERLY A GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-9664
(603) 650-0910
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13205
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012842
—
VT
05
—
30206299
—
NH
Enumeration date
08/18/2006
Last updated
01/20/2012
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