NPI 1396514964 · live from the CMS NPI Registry
Kendall Ann Blanck
Physician Assistant in Manchester, NH. National Provider Identifier 1396514964, active.
NPI record
| NPI | 1396514964 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1260 Elm St, Manchester, NH 03101 |
| Practice phone | 603-314-1701 |
| Mailing address | 172 Kinsley St, Nashua, NH 03060 |
| Enumerated | December 25, 2023 |
| Last updated | March 18, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.