Individual
MISS LAURIE KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
426 CALEF HWY, BARRINGTON, NH 03825-7235
(603) 664-9003
(603) 664-7493
Mailing address
232 PRESCOTT ROAD, EPPING, NH 03042-1816
(603) 679-1876
(603) 679-1876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0211
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241950099
—
ME
05
—
30009663
—
NH
01
—
P00006364
RAILROAD MEDICARE
—
Enumeration date
08/02/2006
Last updated
05/22/2012
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