Individual
KERRY HANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3 ALUMNI DR, SUITE 301, EXETER, NH 03833-2119
(603) 778-7975
(603) 778-7964
Mailing address
PO BOX 655, EXETER, NH 03833-0655
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0913
NH
Other
Enumeration date
09/15/2006
Last updated
10/03/2012
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