Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ML 20007737 | WA |
N | 208600000X | Surgeon | ML 20007737 | WA |
Y | 2086S0129X | Vascular Surgeon | LT3427 | NH |
NPI | 1003062258 |
---|---|
Provider Name | Dr. Keith Menes |
First Address | Somersworth, NH 03878-1115 |
Second Address | Somersworth, NH 03878-1115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2008 |
Last Update Date | 04/09/2014 |