Individual
DR. KENNETH C RAFFERTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
143 LAKE ST, LACONIA, NH 03246-2129
(603) 524-3222
Mailing address
143 LAKE ST, LACONIA, NH 03246-2129
(603) 524-3222
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
314-A
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314-A
NH STATE LICENSE CERTIFIC
NH
Enumeration date
07/14/2005
Last updated
09/19/2017
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