Kimberly Marie Bouse, BSW

Individual provider Active NPI Specialist · Manchester, NH

NPI 1144424136 · NPPES record last updated Feb 27, 2008

Key facts

NPI
1144424136
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
Practice address
43 Walnut St
Manchester, NH 03104-4843
Phone
(603) 668-4111
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Yes

Addresses

Primary practice location

43 Walnut St
Manchester, NH 03104-4843

Mailing address

401 Cypress St
Manchester, NH 03103-3628
Phone (603) 668-4111

Other providers in Manchester, NH

All providers in Manchester, NH · Specialist in New Hampshire

Sources for this page

Verify at the official NPI Registry.