Kim H Dedeus, PA-C
NPI #1063408144 in Portsmouth, New Hampshire
Provider Information
- NPI Number
- 1063408144
- Entity Type
- Individual
- Name
- Kim H Dedeus, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Sep 23, 2005
- Last Updated
- Feb 16, 2017
Practice Location
- Address
- 333 BORTHWICK AVE
- Address 2
- MEDICAL OFFICE BUILDING SUITE 301
- City
- Portsmouth
- State
- New Hampshire
- ZIP Code
- 03801-7128
- Phone
- (603) 431-5858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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