Healthcare Provider Details

I. General information

NPI: 1699939769
Provider Name (Legal Business Name): KATHLEEN MERCIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2008
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 MAIN ST 3RD FLOOR
KEENE NH
03431-3701
US

IV. Provider business mailing address

540 MAIN ST
RINDGE NH
03461-5733
US

V. Phone/Fax

Practice location:
  • Phone: 603-357-4400
  • Fax:
Mailing address:
  • Phone: 603-899-3136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: