Provider Demographics
NPI:1164726675
Name:HARTWELL, KATHRYN LEE (CPM, NHCM)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LEE
Last Name:HARTWELL
Suffix:
Gender:F
Credentials:CPM, NHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-3224
Mailing Address - Country:US
Mailing Address - Phone:603-228-8710
Mailing Address - Fax:
Practice Address - Street 1:254 N STATE ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3224
Practice Address - Country:US
Practice Address - Phone:603-228-8710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1039176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife