Individual
KRISTIN A. MALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
67 CORPORATE DR, PORTSMOUTH, NH 03801-2847
(603) 610-8050
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
250861
MA
207Q00000X
Family Medicine Physician
Primary
33855
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110092695A
—
MA
Enumeration date
06/08/2009
Last updated
01/29/2025
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