Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 2665 | NH |
NPI | 1023187929 |
---|---|
Provider Name | Karen Elinor Rodden |
First Address | Keene, NH 03431-2455 |
Second Address | Keene, NH 03431-2455 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 08/07/2007 |