Individual
KEVIN BRADLEY BOTELHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
16 HOSPITAL RD, PLYMOUTH, NH 03264-1126
(603) 536-2239
(603) 536-5887
Mailing address
16 HOSPITAL RD, PLYMOUTH, NH 03264-1126
(603) 536-2239
(603) 536-5887
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
059205-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059205-23
LICENSE
NH
Enumeration date
07/31/2017
Last updated
07/21/2022
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