NPI 1104976885

Kimberly Ann Licciardi, MD

Practitioner Ophthalmology Physician Manchester, NH

Practice location

Address: 764 2nd St, Manchester, NH 03102-5210
Phone: (603) 669-3925

Registered specialties (3)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 14856 (NH)

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Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MT188086 (PA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1104976885
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2007
Record last updated: 8 Jul 2024

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.