Provider Demographics
NPI:1477562353
Name:KEHAS, DAVID J (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:KEHAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CHAMBERS RD
Mailing Address - Street 2:ELLIOT FAMILY MEDICINE AT HOOKSETT
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106
Mailing Address - Country:US
Mailing Address - Phone:603-624-8652
Mailing Address - Fax:603-624-6609
Practice Address - Street 1:20 CHAMBERS RD
Practice Address - Street 2:ELLIOT FAMILY MEDICINE AT HOOKSETT
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106
Practice Address - Country:US
Practice Address - Phone:603-624-8652
Practice Address - Fax:603-624-6609
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH13250207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine