Individual
GARY KISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 BORTHWICK AVE, WOUND CARE CENTER, PORTSMOUTH, NH 03801-7128
(603) 433-6994
Mailing address
PO BOX 447, PORTSMOUTH, NH 03802-0447
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5064
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81203886
—
NH
Enumeration date
05/27/2006
Last updated
01/09/2011
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