NPI 1063408144

Kim H Dedeus, PAC

Practitioner Surgical Physician Assistant Portsmouth, NH

Practice location

Address: 333 Borthwick Ave Medical Office Building Suite 301, Portsmouth, NH 03801-7128
Phone: (603) 431-5858
Fax: (603) 431-5818

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 0504P (NH)

Other Physician Assistant providers in New Hampshire →

Registry record

NPI: 1063408144
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Sep 2005
Record last updated: 16 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.