Individual provider · Type 1 NPI

Kim H. Dedeus, PA-C

Surgical Physician Assistant · Portsmouth, NH

NPI number 1063408144 Active

Practice location

333 Borthwick Ave, Medical Office Building Suite 301
Portsmouth, NH 03801-7128

Call (603) 431-5858 Map

Fax (603) 431-5818

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X0504P (NH)

Surgical Physician Assistant: Definition to come...

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About NPI 1063408144

Kim H. Dedeus, PA-C's National Provider Identifier is 1063408144, issued on Sep 23, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portsmouth, NH. The record was last updated on Feb 16, 2017.