Most Relevant Information
Provider Data
| NPI Number: | 1003240359 |
| Provider Name: | KIMBERLY S. MACDERMOTT APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11013672 |
Most Important Dates
| Enumeration Date: | 08/22/2013 |
| Last Updated: | 10/13/2022 |
Provider Practice Location
3073 WHITE MOUNTAIN HWY
NORTH CONWAY
NH
038607101
Practice Location Phone/Fax
| Phone: | 6033565472 |
| Fax: | 6033569647 |
Provider Mailing Location
3073 WHITE MOUNTAIN HWY
NORTH CONWAY
NH
038607101
Provider Mailing Phone/Fax
| Phone: | 6033565472 |
| Fax: | 6033569647 |