Most Relevant Information
Provider Data
| NPI Number: | 1003317546 |
| Provider Name: | KRISTIE N LA MONICA PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 1347 |
Most Important Dates
| Enumeration Date: | 02/21/2018 |
| Last Updated: | 09/18/2019 |
Provider Practice Location
590 COURT ST
KEENE
NH
03431
Practice Location Phone/Fax
| Phone: | 6033545496 |
| Fax: |
Provider Mailing Location
590 COURT ST
KEENE
NH
034311719
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |