IndividualActive
Kim Dedeus, PA-C
NPI 1063408144 · Surgical Physician Assistant · Portsmouth, NH
Provider details
- NPI number
- 1063408144
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 0504P (NH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
333 Borthwick Ave
Medical Office Building Suite 301
Portsmouth, NH 03801-7128
Phone: (603) 431-5858
Fax: (603) 431-5818
Approximate (ZIP-level) locationGet directions
Mailing address
333 Borthwick Ave
Portsmouth, NH 03801-7128
Registry dates
- Enumerated
- 2005-09-23
- Last updated
- 2017-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.