Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 18930 | NH |
N | 208000000X | Pediatrician | D0079771 | MD |
Y | 2080P0210X | Pediatric Nephrologist | 18930 | NH |
NPI | 1366708349 |
---|---|
Provider Name | Dr. Kathleen Elizabeth Altemose |
First Address | Lebanon, NH 03756 |
Second Address | Lebanon, NH 03756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2012 |
Last Update Date | 13/07/2018 |