Healthcare Provider Details

I. General information

NPI: 1467895912
Provider Name (Legal Business Name): KRISTINA ANN WIHBEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2013
Last Update Date: 07/13/2020
Certification Date: 07/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 PLEASANT STREET MEMORIAL BUILDING, WEST, FLOOR 1
CONCORD NH
03301-5046
US

IV. Provider business mailing address

246 PLEASANT STREET MEMORIAL BUILDING, WEST, FLOOR 1
CONCORD NH
03301-5046
US

V. Phone/Fax

Practice location:
  • Phone: 603-228-1111
  • Fax: 603-226-4314
Mailing address:
  • Phone: 603-228-1111
  • Fax: 603-226-4314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number18379
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: