Healthcare Provider Details

I. General information

NPI: 1689541542
Provider Name (Legal Business Name): SR KUYKENDALL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 COLLEGE DR
CLAREMONT NH
03743-9707
US

IV. Provider business mailing address

1 COLLEGE DR
CLAREMONT NH
03743-9707
US

V. Phone/Fax

Practice location:
  • Phone: 603-542-7744
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number067568-21
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: