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Contact Information

KIM H DEDEUS, PA-C
333 BORTHWICK AVE
MEDICAL OFFICE BUILDING SUITE 301
PORTSMOUTH, NH03801-7128
 Phone: 603-431-5858
 Fax: 603-431-5818
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KIM H DEDEUS · (Female)

NPI # 1063408144
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/23/2005
Last updated 02/16/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 0504P
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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