Individual
MS. KATHLEEN M LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
333 BORTHWICK AVE, MEDICAL OFFICE BUILDING, PORTSMOUTH, NH 03801-7128
(603) 431-5858
(603) 431-5818
Mailing address
PO BOX 231, NEW CASTLE, NH 03854-0231
(603) 431-5858
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0174 P
NH
Other
Enumeration date
04/10/2007
Last updated
07/09/2007
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