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Individual

BRIAN CRAIG KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, MPAS

Contact information

Practice address
8 LOUDON RD, CONCORD, NH 03301-5300
(603) 226-9000
Mailing address
8 LOUDON RD, CONCORD, NH 03301-5300
(603) 226-9000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1329
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1329
NH PHYSICIAN ASSISTANT LICENSE
NH
Enumeration date
02/22/2018
Last updated
02/22/2018
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