Kimberly Ann Licciardi, MD

NPI #1104976885 in Manchester, New Hampshire

Provider Information

NPI Number: 1104976885
Entity Type: Individual
Name: Kimberly Ann Licciardi, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Jan 12, 2007
Last Updated: Jul 8, 2024

Practice Location

Address: 764 2ND ST
City: Manchester
State: New Hampshire
ZIP Code: 03102-5210
Phone: (603) 669-3925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Student in an Organized Health Care Education/Training Program	390200000X
Ophthalmology	207W00000X	Primary

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