Doctor Name: | MRS. KENDRA CLINE |
NPI Number: | 1780053736 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 065483-23 |
Business Practice Address: | 27 Londonderry Tpke Hooksett Medical Park Hooksett, NH - 031062012 |
Business Phone Number: | 6033145980 |
Business Fax Number: | |
Mailing Address: | 18 Hilton Dr, NEWMARKET |
State: | NH |
Postal Code: | 038572200 |
Phone Number: | 7038625843 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2015 |
NPI Last Update Date: | 09/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 065483-23 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |