Individual
MRS. KATHERINE STARR GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
145 HOLLIS ST, MANCHESTER, NH 03101-1235
(603) 626-9500
Mailing address
145 HOLLIS ST, MANCHESTER, NH 03101-1235
(603) 626-9500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1907
NH
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1907
PA-C LICENSE
NH
05
—
3137339
—
NH
Enumeration date
07/07/2022
Last updated
11/30/2022
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