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NPI 1245751015

NPI 1245751015 : KELLY A LORD APRN : CONCORD, NH

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General NPI Number Information
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    NPI Number           |    1245751015
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    Entity Type          |    Individual 
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    Provider Name        |    KELLY A LORD APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/03/2017
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    Last Update Date     |    09/26/2025
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Provider Practice Location Address
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    Address Line         |    103 LOUDON ROAD 
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    City                 |    CONCORD
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    State                |    NH
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    Zip                  |    03301
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    Country              |    US
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    Telephone            |    603-934-3400
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    103 LOUDON ROAD 
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    City                 |    CONCORD
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    State                |    NH
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    Zip                  |    03301
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    Country              |    US
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    Telephone            |    603-934-3400
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    054877-23
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    License Number State |    NH
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