Kim H Dedeus is a Surgical in Portsmouth, New Hampshire. Kim H Dedeus practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kim H Dedeus is 1063408144. The last update date is 2017-02-16.
Kim H Dedeus's current location address is 333 Borthwick Ave, Portsmouth, New Hampshire. You can contact this provider via phone number 6034315858 and fax number 6034315818. The mailing address for Kim H Dedeus is 333 Borthwick Ave, Portsmouth, New Hampshire. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kim H Dedeus |
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Address | 333 Borthwick Ave, Portsmouth, New Hampshire |
Phone Number | 6034315858 |
Fax Number | 6034315818 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1063408144 |
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Provider Enumeration Date | 2005-09-23 |
Last Updated Date | 2017-02-16 |
Provider Mailing Address Detail
Address | 333 Borthwick Ave |
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City | Portsmouth |
State | New Hampshire (NH) |
Post Code | 38017128 |
Phone Number | 6034315858 |
Fax Number | 6034315818 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | 0504P |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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What is the Kim H Dedeus's 1063408144?
The Kim H Dedeus's NPI (National Provider Identifier) Number is 1063408144. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kim H Dedeus's physical address?
The Kim H Dedeus is physically located at 333 Borthwick Ave, in the city of Portsmouth, NH, with the postal code 38017128.
What is the area of specialization for Kim H Dedeus, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kim H Dedeus is Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 363As0400X.
On what date did the Kim H Dedeus receive the assignment of its 1063408144 from the Centers for Medicare & Medicaid Services?
The Kim H Dedeus was issued its 1063408144 by the Centers for Medicare & Medicaid Services on 2005-09-23.
When was the information regarding Kim H Dedeus most recently updated?
The details pertaining to the Kim H Dedeus, including its address, specialty, and other relevant information, were last refreshed on 2017-02-16.