Licciardi, Kimberly Ann

Licciardi, Kimberly Ann is an individual health care provider with primary practice located at 764 2Nd St , Manchester NH 03102-5210. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Licciardi, Kimberly Ann can be contacted via phone (603) 669-3925.

Contact Information

Primary practice address
764 2Nd St Manchester NH 03102-5210
Phone: (603) 669-3925
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MT188086 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 14856 New Hampshire

Profile Details

NPI number 1104976885
LBN Legal business name Licciardi, Kimberly Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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