Individual
KALEIGH ANN MCA'NULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 PROSPECT ST, NASHUA, NH 03060-3924
(603) 883-1626
(603) 881-9914
Mailing address
675 PARAMOUNT DR, RAYNHAM, MA 02767-5416
(508) 880-0012
(508) 880-0032
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1078
NH
363AM0700X
Medical Physician Assistant
PA4623
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3100761
—
NH
Enumeration date
04/11/2013
Last updated
11/16/2023
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