Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 6046 | NH |
NPI | 1225045941 |
---|---|
Provider Name | Dr. William James Kirmes |
First Address | Manchester, NH 03104-6116 |
Second Address | Manchester, NH 03104-6116 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 08/07/2007 |