Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 13403 | NH |
NPI | 1013202266 |
---|---|
Provider Name | Audrey M Kern |
First Address | Somersworth, NH 03878-1543 |
Second Address | Somersworth, NH 03878-1543 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2011 |
Last Update Date | 27/02/2017 |