Individual
PENNIE MARIE KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 LOWELL ST, SUITE 205, MANCHESTER, NH 03101-1646
(603) 622-2007
(603) 622-1132
Mailing address
33 CRAIG DR, MERRIMACK, NH 03054-3955
(603) 424-4438
(603) 622-1132
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0268512308
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30340998
—
NH
Enumeration date
05/04/2006
Last updated
07/08/2007
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