Healthcare Provider Details

I. General information

NPI: 1770402612
Provider Name (Legal Business Name): KYLIE FRANCIS BA, BS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 S STATE ST
CONCORD NH
03301-3528
US

IV. Provider business mailing address

112 S STATE ST
CONCORD NH
03301-3528
US

V. Phone/Fax

Practice location:
  • Phone: 603-998-4210
  • Fax: 603-532-0720
Mailing address:
  • Phone: 603-998-4210
  • Fax: 603-532-0720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: