Individual
KATHLEEN ABLADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
25 LEAVEY DR, BEDFORD, NH 03110-4437
(603) 472-7233
Mailing address
25 LEAVEY DR, BEDFORD, NH 03110-4437
(603) 472-7233
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0260
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30332434
—
NH
05
—
404070099
—
ME
Enumeration date
08/25/2006
Last updated
11/14/2022
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